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South Dakota rates for HCPCS J9270

Injection, plicamycin, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.74 / $98.74 / $98.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $83.93 / $98.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.13 / $83.77 / $102.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.87 / $138.50 / $177.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.74 / $109.92 / $109.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $149.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.74 / $98.74 / $109.92