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South Dakota rates for HCPCS J9230

Mechlorethamine Hcl Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.65 / $371.65 / $371.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $339.31 / $371.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $327.75 / $409.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.45 / $478.32 / $668.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $344.77 / $1,255.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.16 / $176.55 / $282.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.16 / $203.25 / $439.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $309.70 / $344.77