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South Dakota rates for HCPCS Q5118

Injection, bevacizumab-bvzr, biosimilar, (Zirabev), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.77 / $15,686.65 / $15,744.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $26.01 / $32.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.87 / $30.87 / $30.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $27.45 / $34.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.93 / $40.44 / $65.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $26.64 / $101.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.90 / $34.50 / $59.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.72 / $32.33 / $59.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.48 / $23.48 / $23.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $25.77 / $30.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.93 / $23.93 / $23.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $23.93 / $23.93