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South Dakota rates for HCPCS J3358

Ustekinumab, for intravenous injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.99 / $12.99 / $12.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $13.95 / $16.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $13.05 / $16.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.31 / $19.00 / $36.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $13.29 / $14.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.31 / $15.95 / $22.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $15.37 / $31.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $14.22 / $14.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $12.99 / $14.29
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $13.29 / $13.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.29 / $13.29