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South Dakota rates for HCPCS J9306

Injection, pertuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.19 / $20.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $17.02 / $20.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $28.54 / $33.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $18.80 / $4,929.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.67 / $21.05 / $27.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $19.47 / $25.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $18.04 / $20.25
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $18.48 / $18.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $18.48 / $18.48