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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
$54.95 / $61.66 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $56.23 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $70.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $61.66 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $67.61 / $83.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $61.66 / $66.07
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26