go back

South Dakota rates for HCPCS J1453

Injection Fosaprepitant 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $481.87 / $481.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.13
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 / $1.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $306.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.18 / $2.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.24 / $2.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $1.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11