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South Dakota rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.23 / $25.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $21.44 / $26.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.93 / $32.03 / $51.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $18.95 / $22.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.74 / $24.99 / $36.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.74 / $24.99 / $32.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.09 / $24.09 / $24.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $24.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $18.95 / $18.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $18.95 / $18.95