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South Dakota rates for HCPCS J7207

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.08 / $5.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.15 / $2.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.58 / $3.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.52 / $4.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.31
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15