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South Dakota rates for HCPCS J7120

Ringers lactate infusion, up to 1,000 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $75.86 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $6.61 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $3.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $102.33 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.45 / $2.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.40 / $2.40
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40