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South Dakota rates for HCPCS J9209

Injection, mesna, 200 mg

Facilitymedian $2 · 10th–90th $1–$30%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$1.00 / $1.00 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.75
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.38 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $2.24 / $8.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.48 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.00 / $2.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.82 / $2.09
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.04
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.04