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South Dakota rates for HCPCS J9305

Injection, pemetrexed, NOS, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.40 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.36 / $4.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $6.30 / $56.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $4.15 / $2,120.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $7.91 / $111.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $63.86 / $111.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $51.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.62 / $5.19
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09