go back

Vestronidase Alfa-vjbk Injection

South Dakota rates for HCPCS J3397 · Mepsevii

Injection, vestronidase alfa-vjbk, 1 mg

Rates data updated July 2026.

How much does Mepsevii (vestronidase alfa) cost?

$288per mg

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $288 for each mg of this drug. The price depends on where it is billed: about $288 from a physician practice, and about $282 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$288
At a hospital outpatient department
$282

The same drug, in the same amount, costs 2% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$288$282 to $339
FacilityA hospital or hospital-owned outpatient department$282$269 to $282

How much rates vary

Facilitymedian $282 · 10th to 90th $269 to $339Professionalmedian $288 · 10th to 90th $282 to $355
$500facility $282professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$812.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$269.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$281.84
Typical High
$309.03
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84

Where South Dakota sits

The same service costs 1.7 times more in Colorado than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 18th of 51

$288

CO $468NC $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.