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South Dakota rates for HCPCS 80280

Drug Assay Vedolizumab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $48.96 / $200.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $25.84 / $215.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.03 / $77.03 / $77.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.19 / $69.84 / $87.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.40 / $43.67 / $183.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $34.71 / $57.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.28 / $70.54 / $78.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $78.75 / $100.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $92.93 / $105.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $23.14 / $46.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $38.57 / $38.57