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South Dakota rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.35 / $2.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $4.05 / $6.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.40 / $2.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $3.42 / $4.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.74 / $4.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.66
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40