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South Dakota rates for HCPCS J1306

Injection, inclisiran, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $16.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $20.89 / $33.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $12.30 / $12.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.59 / $13.80
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30