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South Dakota rates for HCPCS J9356

Injection, trastuzumab, 10 mg and hyaluronidase-oysk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.44 / $61.44 / $61.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $61.44 / $76.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.61 / $73.61 / $73.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.09 / $64.73 / $80.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.97 / $106.42 / $125.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $70.09 / $303.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.50 / $94.46 / $110.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.50 / $94.46 / $113.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $67.23 / $67.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $65.13 / $75.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.91 / $68.91 / $68.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.91 / $68.91 / $68.91