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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
$3.98 / $3.98 / $8.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $5.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $6.03 / $11.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.07 / $4.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.07 / $4.47
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07