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South Dakota rates for HCPCS 96406

Chemotherapy administration; intralesional, more than 7 lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.66 / $43.66 / $133.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.66 / $128.25 / $144.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.80 / $304.80 / $304.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.67 / $155.65 / $332.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.38 / $122.32 / $270.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.24 / $232.04 / $855.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.38 / $229.00 / $301.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $202.00 / $287.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.59 / $163.30 / $243.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.63 / $232.04 / $252.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.90 / $101.80 / $290.80