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South Dakota rates for HCPCS J9181

Injection, etoposide, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.09 / $1.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.86 / $2.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $3.63 / $67.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.28 / $1.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.28 / $1.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $6.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $3.85
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43