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South Dakota rates for HCPCS J1830

Injection interferon beta-1b, 0.25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.67 / $852.67 / $852.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.72 / $852.67 / $852.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $124.99 / $154.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.76 / $1,097.38 / $2,102.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.56 / $710.56 / $781.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.68 / $221.68 / $617.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.24 / $724.77 / $724.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.56 / $710.56 / $781.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.56 / $710.56 / $710.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.56 / $710.56 / $710.56