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South Dakota rates for HCPCS J9071

Injection, cyclophosphamide (AuroMedics), 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $2,767.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.64 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.91 / $1.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.32 / $2.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.87 / $7.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.05 / $3.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.18 / $3.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.77
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86