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South Dakota rates for HCPCS J7210

Injection Factor Viii (Antihemophilic Factor Recombinant) (Afstyla) 1 I.U.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.57 / $1.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.35 / $4.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.58 / $1.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.89 / $2.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.82 / $3.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.57 / $1.73
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58