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South Dakota rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $499.38 / $598.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.90 / $504.90 / $504.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.54 / $495.55 / $616.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.99 / $707.03 / $1,354.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.40 / $494.43 / $543.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.28 / $593.32 / $847.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.22 / $581.28 / $726.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.29 / $542.29 / $542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.40 / $495.55 / $545.11
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $494.43 / $494.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.43 / $494.43 / $494.43