go back

South Dakota rates for HCPCS J2505

Injection, pegfilgrastim, 6 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,263.54 / $2,263.54 / $2,829.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,096.70 / $5,096.70 / $5,096.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,213.23 / $4,042.54 / $5,586.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.21 / $2,431.21 / $3,443.33