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South Dakota rates for HCPCS J2724

Inejction Protein C Concentrate Intravenous Human 10 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $15.04 / $15.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $15.04 / $18.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $19.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $25.40 / $41.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $15.03 / $16.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.03 / $18.20 / $26.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $18.04 / $22.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $16.46 / $16.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $15.04 / $16.54
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50