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South Dakota rates for HCPCS J7309

Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.74 / $94.74 / $94.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.63 / $78.63 / $80.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.63 / $84.46 / $104.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.74 / $112.13 / $418.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $94.74 / $104.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.78 / $112.13 / $112.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.06 / $100.42 / $112.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.37 / $94.74 / $104.21