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South Dakota rates for HCPCS J9266

Injection, pegaspargase, per single dose vial

Facilitymedian $30,903 · 10th–90th $28,184–$56,2340%50%10th90th$30,903Professionalmedian $28,840 · 10th–90th $28,184–$42,6580%50%10th90th$28,840$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$28,183.83 / $28,183.83 / $56,234.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $45,708.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $36,307.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $28,183.83 / $56,234.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $31,622.78 / $120,226.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32,359.37 / $35,481.34 / $42,657.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23,442.29 / $23,442.29 / $23,442.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $30,902.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,915.35 / $30,199.52 / $33,884.42
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $30,902.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $30,902.95