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South Dakota rates for HCPCS J9353

Injection, margetuximab-cmkb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.49 / $52.49 / $52.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $52.49 / $61.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.43 / $52.49 / $61.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.45 / $85.26 / $100.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.45 / $56.16 / $218.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.24 / $64.22 / $82.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.24 / $72.66 / $75.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.44 / $57.44 / $57.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $55.64 / $58.43
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.21 / $55.21 / $55.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.21 / $55.21 / $55.21