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South Dakota rates for HCPCS J9020

Injection, asparaginase, not otherwise specified, 10,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.29 / $57.29 / $57.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.71 / $57.29 / $57.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.38 / $67.70 / $82.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.33 / $75.56 / $102.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $81.36 / $342.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.33 / $71.16 / $97.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.33 / $76.67 / $97.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $73.09 / $81.36