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South Dakota rates for HCPCS J9035

Injection Bevacizumab 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.20 / $73.20 / $73.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $73.93 / $145.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.71 / $87.71 / $87.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.16 / $92.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.05 / $123.45 / $146.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.05 / $81.31 / $2,022.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.00 / $98.27 / $128.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.27 / $99.83 / $112.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.83 / $80.11 / $81.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $73.20 / $87.11
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.94 / $79.94 / $79.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.94 / $79.94 / $79.94