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South Dakota rates for HCPCS J7203

Injection Factor IX, (antihemophilic factor, recombinant), glycoPEGylated, (Rebinyn), 1 IU

Facilitymedian $4 · 10th–90th $4$90%50%10th90th$4Professionalmedian $5 · 10th–90th $4$60%20%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
$3.98 / $3.98 / $9.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $5.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $6.61 / $12.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.57 / $4.57
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.57 / $5.25
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.57