go back

South Dakota rates for HCPCS J7207

Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated, 1 IU

Facilitymedian $2 · 10th–90th $2–$40%50%10th90th$2Professionalmedian $2 · 10th–90th $2–$30%50%10th90th$2$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.09 / $5.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.14 / $2.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.14 / $2.45
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.14