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South Dakota rates for HCPCS J9223

Injection, lurbinectedin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $245.47 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $229.09 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $269.15 / $309.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $234.42 / $251.19
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09