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South Dakota rates for HCPCS J1439

Injection, ferric carboxymaltose, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.12 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.23 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.95 / $3.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.12 / $1.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12