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South Dakota rates for HCPCS J3471

Injection, hyaluronidase, ovine, preservative free, per 1 USP unit (up to 999 USP units)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.72 / $1.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.60 / $0.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.60 / $0.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.69
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50