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South Dakota rates for HCPCS J9057

Injection, copanlisib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.07 / $105.07 / $105.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $89.31 / $105.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.38 / $89.31 / $94.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.07 / $142.06 / $189.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.56 / $97.47 / $399.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $153.22 / $425.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.27 / $119.27 / $119.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.31 / $89.31 / $89.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.56 / $90.19 / $107.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.57 / $101.57 / $101.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.57 / $101.57 / $101.57