go back

South Dakota rates for HCPCS J2180

Injection, meperidine and promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.47 / $9.47 / $9.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $9.47 / $9.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $5.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.93 / $12.76 / $23.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $3.79 / $7.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.93 / $9.57 / $14.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $10.49 / $19.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $6.51 / $6.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $3.79 / $4.17