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South Dakota rates for HCPCS J7351

Injection, bimatoprost, intracameral implant, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.84 / $213.84 / $213.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $215.97 / $269.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.86 / $213.86 / $267.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.00 / $303.67 / $581.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.91 / $212.36 / $233.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.87 / $254.84 / $367.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.27 / $251.89 / $538.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.02 / $234.02 / $234.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $213.84 / $235.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.36 / $212.36 / $212.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.36 / $212.36 / $212.36