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South Dakota rates for HCPCS J1324

Injection Enfuvirtide 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.13 / $23.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.94 / $1.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.66 / $0.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.42 / $0.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.54 / $0.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.73
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66