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South Dakota rates for HCPCS J1335

Injection, ertapenem sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $64.57 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.33 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $11.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $15.14 / $70.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.12 / $9.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $14.45
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77