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South Dakota rates for HCPCS J9318

Injection, romidepsin, nonlyophilized, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $34.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $48.20 / $78.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $31.75 / $145.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $42.78 / $68.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.78 / $42.78 / $45.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $31.20 / $31.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $33.94
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.21 / $31.21 / $31.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.21 / $31.21 / $31.21