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South Dakota rates for HCPCS J0712

Injection Ceftaroline Fosamil 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.23 / $5.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $7.17 / $11.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.24 / $4.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $5.09 / $6.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $4.54 / $5.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.65
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24