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South Dakota rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $13 · 10th–90th $6$160%20%10th90th$13Professionalmedian $7 · 10th–90th $6$90%20%10th90th$7$10.0$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$8.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$42.66
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$21.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$45.71
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$16.22