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South Dakota rates for HCPCS J0894

Injection, decitabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.38 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.69 / $25.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.78 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.14 / $3.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.72 / $1.48
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23