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South Dakota rates for HCPCS J9214

Injection, interferon, alfa-2b, recombinant, 1 million units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.88 / $36.88 / $36.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $31.35 / $36.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $33.19 / $41.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.17 / $42.78 / $66.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.73 / $34.21 / $678.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $18.03 / $45.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $24.75 / $45.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.25 / $31.35 / $31.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.73 / $30.73 / $36.57
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.65 / $35.65 / $35.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.65 / $35.65 / $35.65