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South Dakota rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Facilitymedian $16 · 10th–90th $5$1910%20%10th90th$16Professionalmedian $5 · 10th–90th $4$60%20%10th90th$5$5.0$10.0$20.0$50.0$100.0$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
$3.98 / $40.74 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.01
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $6.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $8.71 / $131.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.13 / $5.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.79 / $5.89
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79