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South Dakota rates for HCPCS J3032

Injection, eptinezumab-jjmr, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $20.17 / $24.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.36 / $20.36 / $20.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.69 / $19.97 / $24.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.66 / $28.39 / $54.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.85 / $21.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.19 / $23.32 / $33.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.28 / $23.19 / $40.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $21.85 / $21.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $21.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.85 / $19.85 / $19.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.85 / $19.85 / $19.85