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South Dakota rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $701.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.92 / $590.92 / $590.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.29 / $579.97 / $719.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.25 / $829.39 / $1,589.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.64 / $579.99 / $637.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.25 / $695.98 / $985.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.68 / $641.92 / $844.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.91 / $634.67 / $634.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.97 / $579.97 / $637.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.99 / $579.99 / $579.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.99 / $579.99 / $579.99