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South Dakota rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $43.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.49 / $45.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $61.28 / $72.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $40.36 / $156.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.53 / $46.07 / $59.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.96 / $52.86 / $54.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $39.70 / $39.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $40.39 / $46.78
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.68 / $39.68 / $39.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.68 / $39.68 / $39.68