go back

South Dakota rates for HCPCS J9332

Injection, efgartigimod alfa-fcab, 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.15 / $32.15 / $32.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $32.15 / $39.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.78 / $32.78 / $32.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $32.96 / $41.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.40 / $54.76 / $88.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.38 / $32.40 / $143.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $48.43 / $56.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.85 / $48.43 / $48.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.18 / $35.18 / $35.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $32.15 / $42.83
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.45 / $35.45 / $35.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.45 / $35.45 / $35.45