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South Dakota rates for HCPCS 96402

Chemotx Admn Subq/Im Hormonal Anti-Neo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.28 / $56.42 / $128.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.23 / $76.06 / $95.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $56.99 / $314.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.46 / $63.04 / $79.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.04 / $52.80 / $69.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.82 / $53.19 / $68.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $83.30 / $83.30