go back

South Dakota rates for HCPCS J9198

Injection, gemcitabine HCl, (Infugem), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $38.76 / $45.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.76 / $41.03 / $51.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.28 / $63.97 / $82.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $42.30 / $173.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $48.34 / $60.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.49 / $42.54 / $48.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.76 / $38.76 / $38.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $38.00 / $42.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.08 / $44.08 / $44.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.08 / $44.08 / $44.08