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South Dakota rates for HCPCS J1580

Injection, garamycin, gentamicin, up to 80 mg

Facilitymedian $42 · 10th–90th $2–$1740%10%20%10th90th$42Professionalmedian $2 · 10th–90th $2–$30%50%10th90th$2$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $47.86 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.63
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.51 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $4.47 / $28.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.63 / $2.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.19 / $2.51
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19