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South Dakota rates for HCPCS 80200

Tobramycin

Facilitymedian $31 · 10th–90th $15–$310%50%10th$31Professionalmedian $15 · 10th–90th $10–$440%20%10th90th$15$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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $30.90 / $38.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $25.12 / $66.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.22 / $22.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $38.90 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $14.45 / $22.39
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22