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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
$3.02 / $3.02 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $6.03 / $21.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $6.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55