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South Dakota rates for HCPCS C9462

Injection, delafloxacin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.60 / $0.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.86 / $1.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47