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South Dakota rates for HCPCS J9144

Injection Daratumumab 10 Mg And Hyaluronidase- -Fihj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.57 / $55.57 / $55.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $56.11 / $70.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $55.57 / $67.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.67 / $92.39 / $109.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.67 / $60.86 / $226.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $66.80 / $85.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.59 / $76.86 / $82.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.81 / $60.81 / $60.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.39 / $55.57 / $66.13
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $59.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $59.82 / $59.82