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South Dakota rates for HCPCS J0887

Injection, epoetin beta, 1 mcg, (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.47 / $1.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.38 / $3.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.41 / $153.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.67 / $2.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.70 / $2.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $2.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41