go back

South Dakota rates for HCPCS J2680

Injection, fluphenazine decanoate, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $7.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $12.59 / $37.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.59 / $8.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $12.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24