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South Dakota rates for HCPCS J7180

Injection, Factor XIII (antihemophilic factor, human), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $13.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $15.49 / $29.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.72 / $10.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.72 / $11.75
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72