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South Dakota rates for HCPCS J9041

Injection Bortezomib 0.1 Mg (Desc Rvsd 1/1/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $2.79 / $2.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.81 / $3.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.79 / $3.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $2.69 / $42.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.77 / $1,837.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $3.33 / $62.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $48.74 / $70.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.05 / $40.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $2.79 / $3.32
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74