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South Dakota rates for HCPCS J1426

Injection Casimersen 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.00 / $192.00 / $192.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.36 / $192.00 / $192.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.00 / $160.00 / $160.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.01 / $161.61 / $200.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.00 / $247.10 / $473.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $176.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.16 / $192.16 / $192.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $176.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.00 / $160.00 / $160.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $160.00