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South Dakota rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $117 · 10th–90th $1–$3550%10%10th90th$117Professionalmedian $2 · 10th–90th $1–$470%20%10th90th$2$0.5$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
$35.48 / $134.90 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $2.14 / $46.77
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.51 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $4.07 / $64.57
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.48 / $0.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.58 / $0.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.46 / $0.59
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.46