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South Dakota rates for HCPCS J9349

Injection, tafasitamab-cxix, 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.31 / $14.31 / $14.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $14.31 / $17.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $14.31 / $17.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.08 / $23.80 / $28.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $15.67 / $61.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.71 / $18.41 / $23.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $20.89 / $21.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.66 / $15.66 / $15.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $14.31 / $18.44
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.40 / $15.40 / $15.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $15.40 / $15.40