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South Dakota rates for HCPCS J0485

Injection, belatacept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $6.40 / $10.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $4.72 / $6.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $4.58 / $5.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.26 / $4.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89