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South Dakota rates for HCPCS J0692

Cefepime Hcl For Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $18.20 / $143.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.24 / $1.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $2.08 / $4.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.23 / $1.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.49 / $3.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.86 / $3.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.34
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23