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South Dakota rates for HCPCS J0896

Injection, luspatercept-aamt, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.98 / $41.98 / $41.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.98 / $42.38 / $52.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.79 / $42.79 / $42.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.04 / $42.04 / $52.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.39 / $60.00 / $114.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.24 / $41.96 / $46.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.49 / $50.35 / $72.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $49.49 / $94.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.95 / $45.95 / $45.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.28 / $41.98 / $46.18
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.96 / $41.96 / $41.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.96 / $41.96 / $41.96