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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
$1.57 / $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
$1.50 / $1.57 / $1.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.67 / $4.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.58 / $1.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.81 / $2.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.78 / $3.18
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
$1.57 / $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