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South Dakota rates for HCPCS J3380

Injection, Vedolizumab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.31 / $37.44 / $33,063.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.51 / $8,339.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.71 / $21.71 / $21.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $21.56 / $26.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $37.28 / $82.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.16 / $22.06 / $24.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.67 / $26.47 / $37.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $25.39 / $32.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.32 / $23.32 / $32.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $23.44
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.06 / $22.06 / $22.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.06 / $22.06 / $22.06