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South Dakota rates for HCPCS J9047

Injection, carfilzomib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.65 / $4,816.13 / $4,816.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.65 / $56.20 / $70.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.84 / $55.65 / $66.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.09 / $93.10 / $110.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $61.33 / $2,122.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.21 / $67.55 / $82.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.51 / $62.22 / $82.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.13 / $60.90 / $60.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.65 / $55.65 / $62.28
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.29 / $60.29 / $60.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.29 / $60.29 / $60.29