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South Dakota rates for HCPCS J3397

Injection, vestronidase alfa-vjbk, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.92 / $325.92 / $325.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.51 / $325.92 / $325.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.60 / $271.60 / $271.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.70 / $266.33 / $329.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.92 / $419.46 / $803.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.60 / $271.60 / $298.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.45 / $307.45 / $307.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.02 / $277.02 / $277.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.60 / $271.60 / $298.76
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.60 / $271.60 / $271.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.60 / $271.60 / $271.60