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South Dakota rates for HCPCS J2562

Injection, plerixafor, 1 mg

Facilitymedian $30 · 10th–90th $25–$620%20%40%10th90th$30Professionalmedian $31 · 10th–90th $30–$390%20%40%10th90th$31$20.0$50.0$100.0$200.0$500.0$1.0K

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
$30.20 / $30.20 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $33.11
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $38.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $204.17 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $120.23 / $131.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.88 / $48.98
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $30.90