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South Dakota rates for HCPCS J9175

Injection, Elliotts' B solution, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $10.40 / $12.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.16 / $5.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $14.00 / $22.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $11.35 / $673.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.95 / $6.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.34 / $6.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $12.14
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.83 / $11.83 / $11.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $11.83 / $11.83