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South Dakota rates for HCPCS J1450

Injection, fluconazole, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $210.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $4.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $3.82 / $8.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $3.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $4.08 / $5.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $4.08 / $5.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.49
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25