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South Dakota rates for HCPCS J3398

Injection, voretigene neparvovec-rzyl, 1 billion vector genomes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,655.00 / $3,655.00 / $3,655.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,033.65 / $3,655.00 / $3,655.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.00 / $2,805.00 / $3,506.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,655.00 / $4,703.99 / $9,013.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,045.83 / $3,045.83 / $3,350.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,759.85 / $4,759.85 / $5,553.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,402.80 / $3,402.80 / $3,402.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,106.75 / $3,106.75 / $3,106.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,045.83 / $3,045.83 / $3,350.41
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,045.83 / $3,045.83 / $3,045.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,045.83 / $3,045.83 / $3,045.83