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South Dakota rates for HCPCS J1447

Injection, tbo-filgrastim, 1 mcg

Facilitymedian $0 · 10th–90th $0–$10%20%40%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%50%10th90th$0$0.2$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.51 / $1.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.33 / $0.41
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.27 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.28 / $0.40
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.25 / $0.28