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South Dakota rates for HCPCS J9030

BCG live intravesical instillation, 1 mg

Facilitymedian $4 · 10th–90th $3–$60%20%40%10th90th$4Professionalmedian $3 · 10th–90th $3–$60%20%40%10th90th$3$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$3.02 / $3.02 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.39 / $4.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $4.27 / $6.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.47 / $13.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.89 / $4.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.47 / $3.89
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.63
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.63 / $3.63