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South Dakota rates for HCPCS J9215

Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $30.72 / $36.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $11.25 / $27.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $48.66 / $65.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $33.40 / $722.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $22.70 / $31.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $22.70 / $31.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $35.70
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $34.79 / $34.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $34.79 / $34.79