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South Dakota rates for HCPCS J9320

Injection, streptozocin, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.00 / $1,560.00 / $1,560.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.00 / $1,326.00 / $1,560.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.18 / $414.89 / $518.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.37 / $539.35 / $754.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.77 / $1,447.17 / $1,592.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.78 / $242.77 / $495.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.78 / $398.26 / $502.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.22 / $356.22 / $356.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,547.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.11 / $405.11 / $405.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.11 / $405.11 / $405.11