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South Dakota rates for HCPCS J9151

Injection, daunorubicin citrate, liposomal formulation, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.01 / $58.01 / $58.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.27 / $58.01 / $58.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.60 / $75.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $90.54 / $276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.00 / $307.25 / $1,311.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $72.06 / $98.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $71.19 / $98.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.00 / $276.00 / $364.32