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South Dakota rates for HCPCS J9274

Injection, tebentafusp-tebn, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $217.09 / $217.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $262.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $218.81 / $273.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $366.88 / $594.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $241.67 / $948.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.70 / $280.83 / $375.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.70 / $280.83 / $325.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.57 / $237.57 / $237.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $246.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.57 / $237.57 / $237.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.57 / $237.57 / $237.57