go back

South Dakota rates for HCPCS J9037

Injection, belantamab mafodotin-blmf, 0.5 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $46.59 / $57.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.33 / $54.33 / $54.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.25 / $201.25 / $201.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $62.60 / $98.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.33 / $60.53 / $72.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $45.02 / $45.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.09 / $54.09 / $54.09