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South Dakota rates for HCPCS J9319

Injection, romidepsin, lyophilized, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.78 / $30.78 / $30.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $37.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.14 / $32.46 / $40.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.08 / $52.53 / $62.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $34.60 / $134.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.47 / $45.59 / $53.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.85 / $46.61 / $47.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.67 / $33.67 / $33.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $36.63
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.01 / $34.01 / $34.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.01 / $34.01 / $34.01