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South Dakota rates for HCPCS J0888

Injection, epoetin beta, 1 mcg, (for non-ESRD use)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.47 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.47 / $1.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.38 / $3.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.47 / $1.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.70 / $2.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.70 / $2.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.47 / $1.64
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