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South Dakota rates for HCPCS J0878

Daptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $94.50 / $3,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $99.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $1.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.06 / $0.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03