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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
$14.13 / $14.13 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $18.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $16.60 / $28.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $18.20 / $20.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $16.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49