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South Dakota rates for HCPCS J9269

Injection, tagraxofusp-erzs, 10 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.93 / $356.93 / $356.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $421.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.93 / $356.93 / $431.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.62 / $589.16 / $697.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.62 / $388.09 / $1,496.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.24 / $440.56 / $569.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.24 / $508.34 / $522.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.61 / $390.61 / $390.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $397.34
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.50 / $381.50 / $381.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.50 / $381.50 / $381.50