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South Dakota rates for HCPCS J9200

Injection, floxuridine, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,128.02 / $4,128.02 / $4,128.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,128.02 / $4,128.02 / $4,991.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,063.58 / $4,128.02 / $5,079.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.77 / $4,787.57 / $8,251.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,125.55 / $4,592.60 / $17,614.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $5,186.53 / $6,513.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.46 / $183.04 / $6,188.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.75 / $4,517.46 / $4,517.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,128.02 / $4,128.02 / $4,912.34
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,514.75 / $4,514.75 / $4,514.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,514.75 / $4,514.75 / $4,514.75