go back

South Dakota rates for HCPCS J2547

Injection, peramivir, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.90 / $1.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.59 / $1.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $2.56 / $4.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.74
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58