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South Dakota rates for HCPCS J2797

Injection Rolapitant 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.90 / $1.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.90 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.49 / $2.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.02 / $1.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.02