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South Dakota rates for HCPCS J1931

Aldurazyme IV SOLN 2.9 MG/5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.86 / $39.86 / $39.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $39.86 / $48.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.61 / $40.61 / $40.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.34 / $39.86 / $49.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.31 / $57.03 / $109.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $39.88 / $43.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $47.86 / $67.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.27 / $44.02 / $57.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $43.63 / $43.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $39.86 / $39.86
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.88 / $39.88 / $39.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.88 / $39.88 / $39.88