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South Dakota rates for HCPCS J1438

Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.64 / $1,223.64 / $1,223.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.62 / $1,137.49 / $1,223.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $393.90 / $487.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.85 / $1,399.84 / $3,017.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.71 / $1,019.70 / $1,121.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.85 / $198.45 / $1,383.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.85 / $265.47 / $487.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.70 / $1,019.70 / $1,121.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.70 / $1,019.70 / $1,019.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.70 / $1,019.70 / $1,019.70