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South Dakota rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Facilitymedian $309 · 10th–90th $309–$4370%50%90th$309Professionalmedian $316 · 10th–90th $309–$3980%20%40%10th90th$316$500.0$1.0K

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
$309.03 / $309.03 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $398.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $831.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $338.84 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $309.03 / $354.81
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03