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South Dakota rates for HCPCS J0637

Injection, caspofungin acetate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.54 / $3.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.54 / $4.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $6.07 / $21.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $6.07 / $14.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $7.58 / $14.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $3.87 / $3.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.89
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27