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South Dakota rates for HCPCS J9211

Injection, idarubicin HCl, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $44.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.33 / $44.77 / $55.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.04 / $62.61 / $362.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $41.24 / $1,379.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.21 / $58.92 / $70.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.21 / $55.57 / $71.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $40.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $43.64
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.54 / $40.54 / $40.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $40.54 / $40.54