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South Dakota rates for HCPCS J0638

Injection, canakinumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.60 / $141.60 / $141.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.60 / $141.60 / $170.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.26 / $144.26 / $144.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.13 / $141.60 / $173.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.66 / $201.63 / $386.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.56 / $141.00 / $155.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.01 / $168.36 / $237.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.18 / $154.90 / $203.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.41 / $154.96 / $154.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.60 / $141.60 / $155.76
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.00 / $141.00 / $141.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $141.00 / $141.00