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South Dakota rates for HCPCS J9260

Injection, methotrexate sodium, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $71.98 / $71.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.83 / $3.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.82 / $3.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $3.82 / $4.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.52 / $40.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.99 / $5.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.31 / $4.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $9.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.14 / $4.45
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.48