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South Dakota rates for HCPCS J9176

Injection, elotuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $7.89 / $7.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.89 / $9.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.89 / $9.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $13.32 / $15.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.77 / $34.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.27 / $10.03 / $12.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $9.86 / $11.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $8.13 / $9.39
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $8.61 / $8.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $8.61 / $8.61