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South Dakota rates for HCPCS J0135

Injection, adalimumab, 20 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.88 / $934.88 / $1,168.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.42 / $310.42 / $310.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.42 / $328.89 / $1,272.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.89 / $719.47 / $1,272.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.50 / $1,765.27 / $1,765.27