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South Dakota rates for HCPCS J9041

Injection, bortezomib, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.75 / $3.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.63 / $42.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.78 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.88 / $3.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.95 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.95 / $3.16
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02