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South Dakota rates for HCPCS J9263

Oxaliplatin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $775.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.15 / $9.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $2.63 / $774.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.10 / $0.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.14 / $0.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $10.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $2.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10