go back

South Dakota rates for HCPCS J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.61 / $204.61 / $204.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $206.65 / $248.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.10 / $211.19 / $261.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.22 / $346.92 / $1,026.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.49 / $205.28 / $229.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.91 / $246.33 / $308.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.44 / $240.91 / $308.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.06 / $223.91 / $223.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $204.61 / $225.07
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.28 / $205.28 / $205.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $205.28 / $224.64