go back

South Dakota rates for HCPCS J1460

Injection, gamma globulin, intramuscular, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.03 / $49.03 / $49.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.91 / $49.03 / $58.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $49.80 / $62.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.60 / $69.23 / $132.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $48.42 / $53.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $59.30 / $86.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $56.89 / $74.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.06 / $53.66 / $53.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $53.93
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.42 / $48.42 / $48.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $48.42 / $48.42