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South Dakota rates for HCPCS J9351

Injection, topotecan, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.53 / $1.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $2.25 / $3.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $8.01 / $853.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.91 / $2.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.68 / $3.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $2.78 / $3.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $8.01
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47