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South Dakota rates for HCPCS J7202

Injection, Factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU

Facilitymedian $5 · 10th–90th $5$110%50%10th90th$5Professionalmedian $5 · 10th–90th $5$70%50%10th90th$5$5.0$10.0

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
$5.01 / $5.01 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $7.59 / $14.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.37 / $5.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.37 / $6.17
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37