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South Dakota rates for HCPCS J2425

Injection, palifermin, 50 mcg

Facilitymedian $36 · 10th–90th $35–$720%50%10th90th$36Professionalmedian $37 · 10th–90th $36–$470%50%10th90th$37$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
$36.31 / $36.31 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $51.29 / $97.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $36.31 / $36.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $36.31 / $41.69
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $36.31