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South Dakota rates for HCPCS J0491

Injection, anifrolumab-fnia, 1 mg

Facilitymedian $18 · 10th–90th $18–$260%50%90th$18Professionalmedian $19 · 10th–90th $18–$230%50%10th90th$19$20.0$50.0

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
$18.20 / $18.20 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.62 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $23.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $30.90 / $50.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.20 / $18.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $18.20 / $20.89
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20