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South Dakota rates for HCPCS J1570

Injection, ganciclovir sodium, 500 mg

Facilitymedian $34 · 10th–90th $33–$680%50%10th90th$34Professionalmedian $34 · 10th–90th $33–$430%50%10th90th$34$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $42.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $67.61 / $112.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $39.81 / $39.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $33.88 / $38.90
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $39.81