go back

South Dakota rates for HCPCS J2998

Injection Plasminogen Human-Tvmh 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.53 / $43.53 / $43.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.13 / $43.53 / $43.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $33.63 / $41.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.53 / $56.03 / $107.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $39.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.82 / $48.78 / $56.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.03 / $36.03 / $37.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.71 / $40.71 / $40.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $39.90 / $43.89
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28