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South Dakota rates for HCPCS J0172

Injection, aducanumab-avwa, 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $7.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $8.55 / $16.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $6.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.17 / $7.17 / $10.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $7.17 / $8.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $6.54 / $6.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $6.58
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98