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South Dakota rates for HCPCS J2724

Injection, protein C concentrate, intravenous, human, 10 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $19.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $25.12 / $40.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $15.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $16.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14