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South Dakota rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Facilitymedian $49 · 10th–90th $49–$590%50%90th$49Professionalmedian $49 · 10th–90th $41–$580%20%10th90th$49$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $48.98 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $66.07 / $144.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $48.98 / $48.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $48.98 / $56.23
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98