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South Dakota rates for HCPCS J7314

Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.89 / $529.89 / $529.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.89 / $537.91 / $667.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.49 / $534.49 / $668.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.72 / $761.59 / $1,459.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.57 / $532.58 / $585.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.48 / $639.10 / $920.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.52 / $629.48 / $1,295.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.88 / $579.88 / $579.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.89 / $529.89 / $582.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.58 / $532.58 / $532.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.58 / $532.58 / $532.58