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South Dakota rates for HCPCS J7211

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.69 / $4.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.58 / $1.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $1.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.58 / $1.74
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58