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South Dakota rates for HCPCS J9175

Injection, Elliotts' B solution, 1 ml

Facilitymedian $12 · 10th–90th $12–$160%50%10th90th$12Professionalmedian $10 · 10th–90th $5–$120%20%10th90th$10$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
$12.02 / $12.02 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.13 / $5.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $12.30 / $20.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.22 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.57 / $4.90
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
$10.47 / $10.47 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.22 / $12.59
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $12.30
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.30 / $12.30