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South Dakota rates for HCPCS J2350

Injection, ocrelizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $60.00 / $74.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.53 / $60.53 / $60.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $59.41 / $73.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.52 / $100.89 / $163.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.81 / $59.70 / $65.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $71.64 / $102.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $71.64 / $149.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.02 / $65.02 / $65.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $77.58
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.70 / $59.70 / $59.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.70 / $59.70 / $59.70