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South Dakota rates for HCPCS J9271

Injection, pembrolizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.29 / $33,562.05 / $33,562.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.29 / $60.89 / $12,031.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.23 / $72.23 / $72.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.29 / $60.49 / $75.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.56 / $98.97 / $136.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.56 / $65.19 / $2,460.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.12 / $75.44 / $97.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $75.44 / $87.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $65.98 / $65.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $60.29 / $76.03
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.09 / $64.09 / $64.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.09 / $64.09 / $64.09