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South Dakota rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Facilitymedian $17 · 10th–90th $17$290%50%10th90th$17Professionalmedian $18 · 10th–90th $17$220%20%40%10th90th$18$20.0$50.0

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
$16.98 / $16.98 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $27.54 / $47.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $19.50 / $19.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.38 / $19.95
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $17.38