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South Dakota rates for HCPCS J7185

Xyntha IV KIT 1000 UNIT

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.67 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.67 / $1.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $2.20 / $4.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.54 / $1.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.79 / $2.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.71 / $2.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.83 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.67 / $1.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.54