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South Dakota rates for HCPCS J7042

5% Dextrose/Normal Saline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $3.46 / $12.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.42 / $1.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.41 / $1.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $2.29 / $3.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.36 / $1.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.41 / $1.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.27 / $1.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $17.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.41 / $1.41
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.36 / $1.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.36 / $1.36