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South Dakota rates for HCPCS J0287

Injection, amphotericin B lipid complex, 10 mg

Facilitymedian $10 · 10th–90th $10$130%50%10th90th$10Professionalmedian $10 · 10th–90th $10$130%50%10th90th$10$10.0$20.0

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
$10.96 / $12.02 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $13.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $17.38 / $28.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.23 / $11.22
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $14.13
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.47