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South Dakota rates for HCPCS Q4081

Injection, epoetin alfa, 100 units (for ESRD on dialysis)

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$1.0$5.0$20.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.79 / $0.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.29 / $2.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.85 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.91 / $0.91
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.83 / $0.91
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.85
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.85