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South Dakota rates for HCPCS J1602

Injection, golimumab, 1 mg, for intravenous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.15 / $13.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.25 / $11.25 / $11.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $11.04 / $13.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $18.64 / $76.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $11.03 / $12.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $15.81 / $29.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $16.64 / $29.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $12.08 / $35.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $12.14
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03