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South Dakota rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $79.86 / $79.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.69 / $79.86 / $79.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.39 / $79.86 / $80.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $107.11 / $173.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.38 / $70.56 / $4,956.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.81 / $112.13 / $228.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $168.46 / $228.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.39 / $87.39 / $134.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.76 / $79.86 / $98.68
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.36 / $69.36 / $69.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.36 / $69.36 / $69.36