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South Dakota rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Facilitymedian $1 · 10th–90th $1–$10%50%90th$1Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$1$1.0$2.0$5.0$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
$1.00 / $1.00 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.19 / $22.39
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $2.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.00 / $1.45
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00