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South Dakota rates for HCPCS J1439

Inj Ferric Carboxymaltos 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $2,731.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.12 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.93 / $3.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.13 / $1.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.37 / $1.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.32 / $1.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13