go back

South Dakota rates for HCPCS J1756

Injection, iron sucrose, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $466.58 / $5,603.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.25 / $564.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.44 / $1.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.59 / $0.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.66
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22