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South Dakota rates for HCPCS J7187

Injection, von Willebrand factor complex (Humate-P), per IU VWF:RCO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.14 / $4.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.48 / $1.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.62 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.48 / $1.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48