go back

South Dakota rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $42.66 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.19 / $1.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.13
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10