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South Dakota rates for HCPCS J7209

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.99 / $3.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.18 / $1.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.49 / $2.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.49 / $3.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18