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South Dakota rates for HCPCS J9352

Injection trabectedin 0.1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.07 / $391.07 / $391.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.07 / $391.07 / $463.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.69 / $391.07 / $463.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.07 / $647.39 / $766.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.07 / $426.44 / $1,601.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.64 / $471.58 / $592.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.50 / $468.67 / $574.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.96 / $427.96 / $427.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.07 / $391.07 / $478.83
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.21 / $419.21 / $419.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.21 / $419.21 / $419.21