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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
$0.56 / $254.08 / $254.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.56 / $6.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.38 / $0.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.35 / $5.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.23 / $602.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.43 / $3.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.95 / $6.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $5.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.63 / $0.84
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23