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South Dakota rates for HCPCS J9100

Injection, cytarabine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.37 / $2.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.90 / $44.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.19 / $1.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.21 / $1.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.99
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88