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South Dakota rates for HCPCS J1448

Injection Trilaciclib 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.46 / $6.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $5.48 / $6.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $7.71 / $14.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $6.00 / $6.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.47 / $9.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.47 / $8.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $5.97 / $5.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.08
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39