go back

South Dakota rates for HCPCS J2265

Injection, minocycline HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.10 / $3.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.54 / $3.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $3.99 / $7.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.59 / $2.85
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59