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South Dakota rates for HCPCS J9300

Gemtuzumab ozogamicin inj

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,871.00 / $2,899.71 / $3,588.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,866.90 / $7,866.90 / $7,866.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,394.74 / $3,394.74 / $3,762.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,828.95 / $3,394.74 / $4,113.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,001.33 / $3,001.33 / $3,001.33