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South Dakota rates for HCPCS J1165

Injection, phenytoin sodium, per 50 mg

Facilitymedian $1 · 10th–90th $0–$10%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%20%10th90th$1$0.5$1.0$2.0

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
$1.20 / $1.20 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.12 / $1.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.66 / $0.66
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.60 / $0.66
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.60