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South Dakota rates for HCPCS J0178

Injection, aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.56 / $771.56 / $771.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $779.26 / $972.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.86 / $810.86 / $1,013.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.28 / $1,335.17 / $2,164.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $790.04 / $869.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.04 / $1,173.71 / $1,401.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.29 / $1,078.89 / $1,295.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.34 / $844.34 / $1,013.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.83 / $771.56 / $848.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.04 / $790.04 / $790.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.04 / $790.04 / $790.04