go back

South Dakota rates for HCPCS J1230

Injection, methadone HCl, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $27.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.30 / $21.30 / $26.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.27 / $32.76 / $62.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.91 / $25.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.11 / $24.79 / $27.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $23.55 / $30.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.15 / $21.15 / $21.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $21.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91