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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
$9.86 / $65.23 / $159.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.96 / $10.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.86 / $11.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $15.24 / $70.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $13.22 / $62.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $18.47 / $62.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $10.79 / $10.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $10.85
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02