go back

South Dakota rates for HCPCS J9348

Injection Naxitamab-Gqgk 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.00 / $686.00 / $686.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $686.00 / $829.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.92 / $686.00 / $817.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.91 / $1,159.19 / $1,879.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.91 / $763.56 / $2,835.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.19 / $963.43 / $1,124.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.19 / $1,027.71 / $1,028.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.72 / $750.72 / $750.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $688.14 / $847.82
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.61 / $750.61 / $750.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.61 / $750.61 / $750.61