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South Dakota rates for HCPCS J9171

DOCEtaxel IV CONC 160 MG/8ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $637.07 / $637.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $18.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.64 / $0.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.64 / $2.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $5.30 / $1,046.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.95 / $2.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $1.04 / $7.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $20.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.72 / $5.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41