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South Dakota rates for HCPCS J0219

Injection, avalglucosidase alfa-ngpt, 4 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.91 / $80.91 / $80.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $80.91 / $97.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.43 / $82.43 / $82.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.28 / $80.06 / $99.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.48 / $136.47 / $221.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.81 / $80.75 / $88.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.38 / $116.79 / $156.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $93.38 / $156.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $88.54 / $88.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.86 / $80.91 / $102.78
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.75 / $80.75 / $80.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $80.75 / $80.75