go back

South Dakota rates for HCPCS M0245

Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring

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 / $674.91 / $798.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.45 / $706.52 / $982.29