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South Dakota rates for HCPCS J2790

Injection, Rho D immune globulin, human, full dose, 300 mcg (1500 IU)

Facilitymedian $83 · 10th–90th $79$2140%20%40%10th90th$83Professionalmedian $87 · 10th–90th $79$1150%20%40%10th90th$87$100.0$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
$79.43 / $147.91 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $87.10 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $102.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $138.04 / $223.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $83.18 / $83.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $107.15
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $83.18