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South Dakota rates for HCPCS J7325

Synvisc IX SOSY 16 MG/2ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $7.95 / $2,952.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $8.02 / $423.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $9.41 / $11.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $15.36 / $28.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $9.09 / $10.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $13.74 / $16.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $13.26 / $15.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $8.69 / $29.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $8.75
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.09 / $9.09 / $9.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $9.09 / $9.09