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South Dakota rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.09 / $5.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $6.09 / $11.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.09 / $4.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $4.90 / $6.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.51 / $5.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.09 / $4.51
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09