go back

South Dakota rates for HCPCS J9400

Injection, ziv-aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $9.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.48 / $10.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $13.49 / $20.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $8.88 / $2,736.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $11.97 / $12.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $11.49 / $12.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $8.61 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $7.88 / $9.38
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.73 / $8.73 / $8.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $8.73 / $8.73