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South Dakota rates for HCPCS J0715

Injection, ceftizoxime sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $5.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.84 / $5.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $7.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.52 / $8.67 / $14.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $8.86 / $9.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.76