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South Dakota rates for HCPCS J3465

Injection Voriconazole 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.32 / $6.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.78 / $1.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.27 / $3.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.46 / $5.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.85
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78