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South Dakota rates for HCPCS J7323

Euflexxa Inj Per Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.45 / $112.45 / $112.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $113.57 / $194.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.13 / $131.13 / $163.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.82 / $193.47 / $369.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $114.48 / $128.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.38 / $181.02 / $211.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.58 / $166.47 / $194.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.06 / $123.06 / $367.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $112.45 / $123.70
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.48 / $114.48 / $114.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.48 / $114.48 / $114.48