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South Dakota rates for HCPCS J3357

Ustekinumab, for subcutaneous injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.10 / $340.10 / $340.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.03 / $282.27 / $355.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.81 / $198.52 / $198.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.06 / $389.07 / $838.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.42 / $283.42 / $311.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.06 / $219.90 / $272.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.71 / $188.32 / $247.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.59 / $82.59 / $96.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.42 / $283.42 / $311.76
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.98 / $80.98 / $80.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $80.98 / $80.98