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South Dakota rates for HCPCS J2356

Injection, tezepelumab-ekko, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.01 / $18.01 / $18.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $20.00 / $22.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.34 / $18.34 / $18.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $22.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.97 / $30.93 / $50.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $18.30 / $20.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.32 / $27.24 / $38.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $21.48 / $38.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $19.71 / $19.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $18.01 / $19.80
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30