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South Dakota rates for HCPCS J7202

Factor ix idelvion inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.32 / $6.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.25 / $7.64 / $14.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.34 / $5.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $6.41 / $9.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $6.22 / $11.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $5.82 / $5.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.32 / $5.32
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $5.34 / $5.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $5.34 / $5.34