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South Dakota rates for HCPCS J9213

Injection, interferon, alfa-2a, recombinant, 3 million units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.94 / $50.94 / $50.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.75 / $43.30 / $50.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.75 / $42.00 / $52.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.45 / $71.45 / $91.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.53 / $45.12 / $227.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.75 / $47.30 / $64.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.75 / $47.30 / $73.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.53 / $40.53 / $47.93