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South Dakota rates for HCPCS J2426

Injection, paliperidone palmitate extended release (Invega Sustenna), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.11 / $15.11 / $3,009.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $18.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.11 / $18.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.63 / $21.56 / $41.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $15.08 / $16.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.95 / $18.10 / $25.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $16.80 / $22.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $16.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.08 / $15.08 / $15.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $15.08 / $15.08