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South Dakota rates for HCPCS J7175

Injection, Factor X, (human), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $11.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $9.77 / $12.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $14.27 / $27.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $9.91 / $10.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $11.89 / $16.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $11.44 / $20.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $10.70 / $10.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $10.76
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $9.91 / $9.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $9.91 / $9.91