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South Dakota rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Facilitymedian $15 · 10th–90th $14–$300%50%10th90th$15Professionalmedian $15 · 10th–90th $14–$190%50%10th90th$15$20.0$50.0$100.0

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
$14.13 / $14.13 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $30.20 / $48.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.20 / $18.20
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
$16.22 / $16.22 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $14.79 / $16.98
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $16.60