go back

South Dakota rates for HCPCS J0879

Injection, difelikefalin, 0.1 mcg, (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.36 / $0.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.25
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23