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South Dakota rates for HCPCS J9065

Injection, cladribine, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $11.77 / $30.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $10.68 / $12.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.73 / $16.44 / $46.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.73 / $10.83 / $424.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $16.91 / $31.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $29.00 / $35.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $11.68 / $11.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $14.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.64 / $10.64 / $10.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $10.64 / $10.64