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South Dakota rates for HCPCS J1835

Injection, itraconazole, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.86 / $49.86 / $49.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.38 / $49.86 / $49.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $44.31 / $54.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.04 / $75.83 / $1,091.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $42.28 / $909.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.50 / $1,170.65 / $1,726.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.83 / $1,282.88 / $2,352.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.94 / $42.28 / $46.51