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South Dakota rates for HCPCS J9299

Injection, nivolumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.96 / $32.96 / $32.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.96 / $33.28 / $39.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.50 / $39.50 / $39.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.96 / $32.96 / $41.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.00 / $55.77 / $66.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $36.74 / $1,942.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.76 / $42.14 / $54.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.24 / $42.14 / $49.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.08 / $36.08 / $36.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.96 / $36.69
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.11 / $36.11 / $36.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $36.11