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South Dakota rates for HCPCS J0885

Injection, epoetin alfa, (for non-ESRD use), 1000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.53 / $8.53 / $8.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $8.63 / $10.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $8.53 / $9.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $12.98 / $21.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.68 / $8.53 / $8.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $9.69 / $16.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $9.91 / $16.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $16.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.53 / $9.51
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $7.68 / $7.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.68 / $7.68 / $7.68