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South Dakota rates for HCPCS J9179

Injection Eribulin Mesylate 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $126.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.98 / $122.18 / $151.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.58 / $176.74 / $209.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.58 / $116.42 / $1,160.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.50 / $173.31 / $233.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.81 / $156.88 / $199.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.78 / $97.78 / $132.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $133.32
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.45 / $114.45 / $114.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.45 / $114.45 / $114.45