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South Dakota rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $436.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $239.88 / $933.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $275.42 / $323.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $245.47 / $263.03
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88