go back

South Dakota rates for HCPCS J2175

Meperidine Hydrochl /100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $47.44 / $64.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $15.84 / $19.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.31 / $10.42 / $12.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $22.44 / $254.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $15.69 / $17.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.55 / $8.66 / $18.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $8.01 / $13.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $17.18 / $17.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $15.69 / $17.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $15.69 / $15.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $15.69 / $15.69