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South Dakota rates for HCPCS Q2009

Injection, fosphenytoin, 50 mg phenytoin equivalent

Facilitymedian $3 · 10th–90th $2–$250%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$30%20%40%10th90th$2$2.0$5.0$10.0$20.0

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
$2.00 / $2.88 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $4.27 / $8.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.57 / $2.75
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.29 / $3.55
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.51