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South Dakota rates for HCPCS J9033

Injection, bendamustine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.89 / $24.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.59 / $1.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $3.13 / $18.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.06 / $2,345.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $2.70 / $43.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $22.68 / $43.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $18.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $2.29
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02