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South Dakota rates for HCPCS J9055

Injection, cetuximab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.37 / $78.37 / $78.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.12 / $78.37 / $98.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $78.98 / $98.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.61 / $112.21 / $156.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.47 / $87.35 / $933.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $100.22 / $129.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.70 / $93.03 / $117.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.11 / $85.76 / $85.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $78.37 / $88.33
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.87 / $85.87 / $85.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.87 / $85.87 / $85.87