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South Dakota rates for HCPCS J9019

Erwinaze Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.70 / $483.70 / $483.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $411.15 / $483.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.47 / $435.34 / $544.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.27 / $653.96 / $870.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $448.71 / $1,838.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $604.11 / $606.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.99 / $532.13 / $704.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $415.17 / $532.07