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South Dakota rates for HCPCS J9015

Injection, aldesleukin, per single use vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,272.00 / $7,272.00 / $7,272.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,817.60 / $6,181.20 / $7,272.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.50 / $2,213.91 / $2,984.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.31 / $8,319.17 / $13,089.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,060.00 / $6,746.05 / $25,314.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.65 / $1,079.57 / $7,951.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.65 / $1,087.58 / $2,743.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,181.20 / $6,181.20 / $6,181.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,060.00 / $6,060.00 / $6,746.05
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,029.60 / $7,029.60 / $7,029.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,029.60 / $7,029.60 / $7,029.60