go back

South Dakota rates for HCPCS J2675

Injection Progesterone Per 50 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.70 / $0.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.07 / $3.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.07 / $1.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.31 / $2.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $5.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.77
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63