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South Dakota rates for HCPCS J0565

Injection, bezlotoxumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $48.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $40.61 / $50.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $56.96 / $109.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $43.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.79 / $47.84 / $69.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.45 / $47.93 / $103.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.58 / $43.58 / $43.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $43.81
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83