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South Dakota rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Facilitymedian $25 · 10th–90th $22–$1620%20%10th90th$25Professionalmedian $23 · 10th–90th $23–$650%50%10th90th$23$20.0$50.0$100.0$200.0$500.0$1.0K

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
$22.91 / $40.74 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $64.57
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.88 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $35.48 / $57.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $77.62 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $26.92 / $31.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $25.70 / $79.43
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $25.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $25.12 / $25.12