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South Dakota rates for HCPCS J9358

Injection Fam-Trastuzumab Deruxtecan-Nxki 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.98 / $29.98 / $29.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $30.28 / $36.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.44 / $29.98 / $36.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $50.70 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $33.40 / $127.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.57 / $37.45 / $47.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $41.53 / $45.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $33.36
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.83 / $32.83 / $32.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.83 / $32.83 / $32.83