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South Dakota rates for HCPCS J2469

Palonosetron Hcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $111.93 / $133.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.36 / $0.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.76 / $24.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.50 / $514.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.89 / $25.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $1.21 / $26.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $34.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.53
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45