go back

South Dakota rates for HCPCS Q4171

Interfyl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $16.14 / $20.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.50 / $15.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $17.93 / $29.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $10.61 / $75.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.73 / $15.49 / $17.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.73 / $14.55 / $46.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $11.10
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.61 / $10.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $10.61 / $10.61