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South Dakota rates for HCPCS J9061

Injection, amivantamab-vmjw, 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.54 / $22.54 / $22.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.54 / $22.54 / $26.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.90 / $22.54 / $27.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.21 / $37.53 / $44.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.21 / $24.72 / $95.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $28.03 / $34.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.40 / $30.79 / $33.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.66 / $24.66 / $24.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.54 / $23.89 / $26.82
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.30 / $24.30 / $24.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $24.30 / $24.30