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South Dakota rates for HCPCS J9065

Injection, cladribine, per 1 mg

Facilitymedian $10 · 10th–90th $7–$190%10%20%10th90th$10Professionalmedian $7 · 10th–90th $7–$120%50%10th90th$7$10.0$20.0$50.0$100.0$200.0

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
$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
$10.23 / $10.47 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.71 / $9.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $16.60 / $41.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $10.72 / $426.58
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $14.45 / $14.79
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.32 / $15.49
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $11.75
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $11.75