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South Dakota rates for HCPCS J9312

Injection, rituximab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.22 / $75.22 / $75.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.22 / $75.95 / $94.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.65 / $76.65 / $76.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.89 / $78.67 / $97.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.93 / $128.32 / $151.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.93 / $84.53 / $359.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $114.65 / $134.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.72 / $113.90 / $138.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $82.31 / $82.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.22 / $75.22 / $89.51
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.09 / $83.09 / $83.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.09 / $83.09 / $83.09