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South Dakota rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Facilitymedian $48,978 · 10th–90th $43,652$125,8930%20%40%10th90th$48,978Professionalmedian $43,652 · 10th–90th $43,652$64,5650%50%90th$43,652$20.0K$50.0K$100.0K$200.0K

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
$43,651.58 / $52,480.75 / $125,892.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $69,183.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $54,954.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $45,708.82 / $91,201.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45,708.82 / $51,286.14 / $199,526.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $58,884.37 / $67,608.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45,708.82 / $45,708.82 / $45,708.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43,651.58 / $47,863.01 / $56,234.13
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $48,977.88
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $48,977.88