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South Dakota rates for HCPCS J7308

Aminolevulinic Acid Hcl Top

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.23 / $396.00 / $494.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.85 / $405.87 / $502.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $665.64 / $1,973.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.25 / $393.87 / $441.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.32 / $474.32 / $691.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.79 / $176.79 / $245.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.08 / $429.08 / $429.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $431.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $393.87 / $393.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.87 / $393.87 / $431.03