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South Dakota rates for HCPCS J1833

Injection, isavuconazonium, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.27 / $1.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.02 / $1.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.63 / $3.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.49 / $1.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.17
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06