go back

South Dakota rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Facilitymedian $18 · 10th–90th $18–$310%50%90th$18Professionalmedian $19 · 10th–90th $18–$230%50%10th90th$19$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
$18.20 / $18.20 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $23.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $30.20 / $50.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $20.42 / $20.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $18.20 / $20.89
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20