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South Dakota rates for HCPCS J9190

Fluorouracil 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $574.88 / $574.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.00 / $4.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.27 / $2.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $2.91 / $4.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.34 / $60.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.90 / $4.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.65 / $4.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.37
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88