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South Dakota rates for HCPCS C9257

Injection, bevacizumab, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.39 / $14.39 / $14.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $14.39 / $18.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.70 / $24.32 / $39.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $9.08 / $9.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.24 / $10.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $1.99