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South Dakota rates for HCPCS J9025

Injection, azacitidine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.29 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.49 / $0.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.35 / $5.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.23 / $602.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.37 / $0.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.51 / $0.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62