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South Dakota rates for HCPCS J1306

Leqvio SC SOSY 284 MG/1.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $12.32 / $12.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.43 / $15.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $12.53 / $15.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.58 / $20.87 / $33.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $12.35 / $13.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $17.44 / $21.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.73 / $18.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $13.48 / $13.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.32 / $13.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.35 / $12.35 / $12.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $12.35 / $12.35