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South Dakota rates for HCPCS J7191

Factor VIII (antihemophilic factor (porcine)), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.20 / $2.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $2.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.96 / $5.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $3.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.04