go back

South Dakota rates for HCPCS J0597

Injection, C1 esterase inhibitor (human), Berinert, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $91.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.29 / $77.29 / $77.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.61 / $75.86 / $92.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.95 / $108.48 / $207.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.27 / $75.86 / $83.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.68 / $86.95 / $126.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.60 / $82.60 / $108.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.02 / $83.02 / $83.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $83.45
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86