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South Dakota rates for HCPCS J0491

Injection, anifrolumab-fnia, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.26 / $22.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.41 / $18.41 / $18.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $22.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.34 / $30.59 / $49.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $18.10 / $19.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.33 / $23.28 / $31.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $21.33 / $26.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $19.79 / $19.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $19.89
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.10 / $18.10 / $18.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.10 / $18.10