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South Dakota rates for HCPCS J7212

Factor Viia (Antihemophilic Factor Recombinant)- Jncw (Sevenfact) 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.44 / $3.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $3.43 / $6.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.40 / $2.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.82 / $2.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.79 / $3.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40