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South Dakota rates for HCPCS J7040

Infusion Normal Saline Solution Sterile (500 Ml=1 Unit) (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $98.71 / $258.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.27 / $1.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.70 / $125.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.38 / $1.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.50 / $1.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.48 / $1.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $13.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38