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South Dakota rates for HCPCS J9360

Injection, vinblastine sulfate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $5.30 / $5.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $5.30 / $6.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.30 / $6.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $5.80 / $10.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.89 / $97.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $6.16 / $7.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $6.16 / $7.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $5.80 / $6.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $5.62 / $5.90
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79