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South Dakota rates for HCPCS 96401

Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.67 / $82.40 / $119.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $144.52 / $180.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.28 / $133.69 / $484.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.21 / $148.13 / $186.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.77 / $116.32 / $132.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.06 / $126.54 / $155.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.19 / $158.10 / $158.10