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South Dakota rates for HCPCS J9034

Injection, bendamustine HCl (Bendeka), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $15.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.84 / $13.98 / $17.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.12 / $22.17 / $29.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $14.61 / $102.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $20.18 / $35.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $20.18 / $35.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.76 / $14.76 / $14.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $16.05
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.36 / $14.36 / $14.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $14.36 / $14.36