go back

South Dakota rates for HCPCS J0878

Injection, daptomycin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $3,019.95 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
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
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03