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South Dakota rates for HCPCS J1561

Gamunex-C/Gammaked

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.96 / $48.96 / $16,447.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $49.45 / $58.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.88 / $49.88 / $49.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $61.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.81 / $70.30 / $131.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.03 / $53.79 / $54.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.09 / $58.81 / $85.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.09 / $56.42 / $73.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.72 / $53.58 / $74.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $54.84
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.03 / $48.03 / $48.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.03 / $48.03 / $48.03