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South Dakota rates for HCPCS J2796

Nplate SC SOLR 125 MCG

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.98 / $102.98 / $128.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.23 / $115.23 / $115.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.89 / $79.89 / $115.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.25 / $79.89 / $206.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $110.58 / $110.58