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South Dakota rates for HCPCS J7186

Antihemophilic Viii/Vwf Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.25 / $1.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.76 / $3.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.23 / $1.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.44 / $2.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.38 / $1.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.36 / $1.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.38
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23