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South Dakota rates for HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $41.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $69.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.67 / $154.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $45.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $36.31
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88