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South Dakota rates for HCPCS J0697

Injection, sterile cefuroxime sodium, per 750 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $85.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.87 / $2.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $3.87 / $6.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.29 / $2.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.75 / $3.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.75 / $3.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.49
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29