go back

South Dakota rates for HCPCS J1945

Injection Lepirudin 50 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.80 / $162.80 / $162.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.04 / $162.80 / $536.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.13 / $592.13 / $740.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.29 / $214.70 / $869.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.24 / $645.89 / $710.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.29 / $186.92 / $275.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.29 / $275.70 / $627.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.89 / $645.89 / $852.57