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South Dakota rates for HCPCS J1628

Injection, guselkumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $76.73 / $90.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.78 / $72.48 / $89.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.40 / $107.05 / $205.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.43 / $74.86 / $82.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.51 / $89.84 / $128.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.82 / $84.64 / $158.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.14 / $83.14 / $83.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.52 / $75.97 / $83.57
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.86 / $74.86 / $74.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.86 / $74.86 / $74.86