go back

South Dakota rates for HCPCS J9017

Injection, arsenic trioxide, 1 mg

Facilitymedian $8 · 10th–90th $6–$150%20%40%10th90th$8Professionalmedian $7 · 10th–90th $7–$120%50%90th$7$5.0$20.0$100.0$500.0$2.0K

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
$7.08 / $7.08 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.02
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.90 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $9.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $10.00 / $45.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.46 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.03 / $8.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.76 / $11.48
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.91
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.91