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Pharmacy Extension of 025x - Drugs Requiring Detailed Coding

South Dakota rates for RC 0636

Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding

Rates data updated October 2026.

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $100
$20$50$100facility $100

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$19.50
Sanford Health Plan
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00