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South Dakota rates for HCPCS J9030

BCG live intravesical instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.29 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.26 / $3.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $5.27 / $6.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.47 / $13.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $4.01 / $4.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.01 / $4.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.46 / $3.96
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.42