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South Dakota rates for HCPCS J2791

Injection, Rho D immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU

Facilitymedian $5 · 10th–90th $4–$810%50%10th90th$5Professionalmedian $72 · 10th–90th $4–$1480%10%20%10th90th$72$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$3.98 / $9.55 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $74.13 / $147.91
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $5.01 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $6.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $8.32 / $13.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.01 / $5.01
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $6.46
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.90