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South Dakota rates for HCPCS 84150

Prostaglandin, each

Facilitymedian $79 · 10th–90th $39–$3160%20%40%10th90th$79Professionalmedian $39 · 10th–90th $27–$1000%20%10th90th$39$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $47.86 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.90 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $79.43 / $100.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $46.77 / $81.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $12.02 / $41.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $85.11 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $25.12 / $47.86
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69