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South Dakota rates for HCPCS J7192

Factor VIII (antihemophilic factor, recombinant) per IU, not otherwise specified

Facilitymedian $2 · 10th–90th $1–$30%50%10th90th$2Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $2.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $2.19 / $4.27
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.55 / $1.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.58 / $1.82
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.62