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South Dakota rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Facilitymedian $2 · 10th–90th $2–$12,8820%50%10th90th$2Professionalmedian $2 · 10th–90th $2–$370%50%10th90th$2$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$2.00 / $37.15 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.24 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.72 / $51.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.19 / $2.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.19 / $2.63
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.19