go back

South Dakota rates for HCPCS J2323

Injection, natalizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.23 / $29.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.45 / $24.45 / $24.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.83 / $24.83 / $31.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.64 / $34.51 / $66.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.13 / $26.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.31 / $29.24 / $41.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.93 / $27.49 / $35.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $26.26 / $30.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $24.00 / $26.40
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.13 / $24.13 / $24.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.13 / $24.13 / $24.13