go back

South Dakota rates for HCPCS C9039

Injection, plazomicin, 5 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.21