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South Dakota rates for HCPCS J9216

Injection, interferon, gamma 1-b, 3 million units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,151.58 / $10,151.58 / $10,151.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,121.26 / $8,628.84 / $10,151.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.38 / $492.11 / $643.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.03 / $11,613.40 / $18,272.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,459.66 / $9,417.37 / $37,127.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.40 / $403.11 / $549.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.40 / $403.11 / $643.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,628.84 / $8,628.84 / $8,628.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,190.71 / $8,459.66 / $10,067.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,813.20 / $9,813.20 / $9,813.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,813.20 / $9,813.20 / $9,813.20