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Eptifibatide Injection

South Dakota rates for HCPCS J1327

Injection, eptifibatide, 5 mg

Rates data updated July 2026.

How much does Eptifibatide Injection cost?

$12.02per 5 mg

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $12.02 for each 5 mg of this drug. The price depends on where it is billed: about $28.18 from a physician practice, and about $11.22 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$28.18
At a hospital outpatient department
$11.22

The same drug, in the same amount, costs 60% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.18$10.72 to $32.36
FacilityA hospital or hospital-owned outpatient department$11.22$11.22 to $12.02

How much rates vary

Facilitymedian $11 · 10th to 90th $11 to $19Professionalmedian $28 · 10th to 90th $10 to $35
$10$20$50facility $11professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$12.02
Avera
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$19.50
Typical High
$60.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$10.72
Typical High
$20.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$14.13
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22

Where South Dakota sits

The same service costs 3.8 times more in Montana than in Missouri. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 16th of 51

$12.02

MT $36.31MO $9.55

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.