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South Dakota rates for HCPCS J7192

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.61 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.61 / $1.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $2.20 / $4.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.85 / $2.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.76 / $2.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.76 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.77
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