go back

South Dakota rates for HCPCS C9047

Injection Caplacizumab-Yhdp 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.09 / $935.09 / $935.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.12 / $935.09 / $935.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.74 / $1,422.27 / $2,305.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.24 / $779.24 / $779.24