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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
$72.44 / $72.44 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $81.28 / $144.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $81.28 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $95.50 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $81.28 / $87.10
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43