go back

South Dakota rates for HCPCS J9371

Injection, vincristine sulfate liposome, 1 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.33 / $3,520.18 / $4,356.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,104.93 / $4,104.93 / $4,104.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $3,900.54 / $4,104.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,093.52 / $3,834.41 / $5,673.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,508.13 / $3,508.13 / $3,549.40