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South Dakota rates for HCPCS J3472

Injection, hyaluronidase, ovine, preservative free, per 1,000 USP units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.50 / $162.50 / $162.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $162.50 / $162.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.88 / $142.88 / $178.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.70 / $218.79 / $400.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.42 / $332.96 / $366.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.70 / $136.96 / $202.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.13 / $179.10 / $275.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.96 / $332.96 / $366.26