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Pharmacy Extension of 025x - Self - Administrable Drugs

South Dakota rates for RC 0637

Pharmacy Extension of 025X-Self-Administrable Drugs

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $100$1000%50%$100$5.0$10.0$20.0$50.0$100.0

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
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$4.57
Sanford Health Plan
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00