go back

South Dakota rates for HCPCS J0890

Injection, peginesatide, 0.1 mg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.02 / $11.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.63 / $10.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.22 / $12.97 / $18.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $12.97 / $14.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $10.92 / $11.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $11.36 / $14.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $12.97 / $14.27