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South Dakota rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Facilitymedian $5 · 10th–90th $5$70%50%10th90th$5Professionalmedian $5 · 10th–90th $5$70%50%10th90th$5$5.0$10.0

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
$5.01 / $5.01 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.37
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.25 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $6.92
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $7.76 / $14.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.25 / $5.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.37 / $6.17
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.50