go back

South Dakota rates for HCPCS J9330

Temsirolimus IV SOLN 25 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.71 / $26.71 / $26.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $26.71 / $39.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $31.21 / $38.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.29 / $54.57 / $88.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $35.95 / $1,801.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.38 / $45.48 / $104.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.38 / $48.43 / $104.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $29.23 / $52.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $26.71 / $38.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.33 / $35.33 / $35.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $35.33 / $35.33