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South Dakota rates for HCPCS J0881

Injection, darbepoetin alfa, 1 mcg (non-ESRD use)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.02 / $4.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $3.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $5.07 / $8.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.25 / $3.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.46 / $5.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.79 / $4.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.20 / $7.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00