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South Dakota rates for HCPCS J9045

Injection, carboplatin, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $382.61 / $775.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.50 / $9.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.96 / $3.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $3.57 / $11.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $36.11 / $535.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $4.72 / $5.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.62 / $5.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $155.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.62 / $36.11
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31