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South Dakota rates for HCPCS J0715

Injection, ceftizoxime sodium, per 500 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $7.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $8.71 / $14.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.25 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.75