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South Dakota rates for HCPCS J9262

Injection, omacetaxine mepesuccinate, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $3.88 / $4.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $4.01 / $5.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $6.17 / $8.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.23 / $990.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $5.12 / $9.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.88 / $5.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $4.51
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $4.41 / $4.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $4.41 / $4.41