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South Dakota rates for HCPCS J9207

Ixabepilone Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.21 / $139.21 / $139.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.21 / $139.21 / $167.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.79 / $139.21 / $173.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.51 / $234.35 / $277.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.66 / $154.37 / $2,513.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $177.36 / $224.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.94 / $163.44 / $208.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.27 / $152.34 / $152.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.21 / $139.21 / $165.66
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.75 / $151.75 / $151.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.75 / $151.75 / $151.75