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South Dakota rates for HCPCS J3262

Injection, tocilizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $5.71 / $5.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $5.76 / $7.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $5.81 / $5.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $7.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $8.27 / $15.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $5.79 / $6.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $7.16 / $10.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $6.86 / $8.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $6.24 / $6.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $5.71 / $6.28
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79