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South Dakota rates for HCPCS J0690

Injection, cefazolin sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $240.49 / $671.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.81 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $23.83 / $64.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.84 / $0.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.00 / $1.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.99 / $1.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84