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South Dakota rates for HCPCS M0243

Intravenous Infusion Or Subcutaneous Injection Casirivimab And Imdevimab Includes Infusion Or Injection And Post Administration Monitoring (Desc Rvsd 6/3/21)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $450.00 / $562.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.85 / $552.85 / $798.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.45 / $674.91 / $981.96