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Pharmacy Extension of 025x - Self - Administrable Drugs

South Dakota rates for RC 0637

Self-administrable drugs not requiring detailed coding

Rates data updated October 2026.

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $100
$5$10$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
$2.69
Median
$2.69
Typical High
$4.57
Sanford Health Plan
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00