go back

South Dakota rates for HCPCS Q4145

EpiFix, injectable, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $19.48 / $19.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $19.48 / $19.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.00 / $28.00 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $22.12 / $26.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $32.92 / $34.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $19.48 / $105.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.12 / $32.02 / $34.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.12 / $23.37 / $34.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $21.32 / $21.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $19.48 / $21.43
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $19.48 / $19.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $19.48 / $19.48