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South Dakota rates for HCPCS J0456

Injection, azithromycin, 500 mg

Facilitymedian $43 · 10th–90th $2–$1480%10%10th90th$43Professionalmedian $2 · 10th–90th $2–$30%50%10th90th$2$2.0$10.0$50.0$200.0

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
$18.20 / $45.71 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.04
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.29 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $4.37 / $26.92
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.63 / $2.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.82
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04