go back

South Dakota rates for HCPCS J1599

Ivig Non-Lyophilized, Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.80 / $178.80 / $178.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.40 / $178.80 / $178.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.44 / $156.44 / $156.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.44 / $156.44 / $195.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.55 / $271.95 / $440.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.40 / $119.40 / $119.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.00 / $149.00 / $149.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.00 / $149.00 / $149.00