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South Dakota rates for HCPCS J7340

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $294.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.23 / $282.93 / $300.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.27 / $410.92 / $1,178.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.68 / $243.15 / $267.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.64 / $283.14 / $353.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.61 / $291.77 / $557.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.58 / $266.58 / $266.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $267.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.15 / $243.15 / $243.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.15 / $243.15 / $266.08