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South Dakota rates for HCPCS J2469

Injection, palonosetron HCl, 25 mcg

Facilitymedian $25 · 10th–90th $0–$1350%20%10th90th$25Professionalmedian $1 · 10th–90th $0–$300%20%10th90th$1$0.5$2.0$10.0$50.0$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
$24.55 / $123.03 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $21.38 / $93.33
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.51 / $0.52
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.52 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.47 / $0.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.76 / $24.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.50 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $0.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.39 / $10.00
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.36
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.36