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South Dakota rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $0.95 / $0.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.95 / $0.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.88 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.35 / $2.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.81 / $0.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.84 / $1.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.84 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.89