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South Dakota rates for HCPCS J1740

Ibandronate Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.61 / $28.61 / $28.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.61 / $28.61 / $37.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.65 / $28.31 / $28.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.43 / $52.05 / $182.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.22 / $30.80 / $33.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.66 / $36.96 / $100.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $40.86 / $166.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.31 / $31.31 / $146.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.36 / $28.61 / $33.47
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.80 / $30.80 / $30.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.80 / $30.80 / $30.80