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South Dakota rates for HCPCS Q3027

Injection, interferon beta-1a, 1 mcg for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.38 / $86.38 / $86.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.70 / $86.38 / $86.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.66 / $70.83 / $70.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.84 / $111.17 / $213.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.64 / $71.98 / $79.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $79.59 / $97.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.21 / $64.08 / $83.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $73.42 / $73.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.96 / $71.98 / $79.18
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.98 / $71.98 / $71.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $71.98 / $71.98