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South Dakota rates for HCPCS J7205

Injection Factor Viii Fc Fusion (Recombinant) Per Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.43 / $2.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $3.46 / $6.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.42 / $2.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.81 / $4.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.70 / $3.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $2.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42