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South Dakota rates for HCPCS 96402

Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $46.77 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $79.43 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $50.12 / $316.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $72.44 / $85.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $52.48 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $51.29 / $74.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $83.18 / $83.18