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South Dakota rates for HCPCS J2186

Injection Meropenem And Vaborbactam 10mg/10mg (20mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.67 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $3.43 / $6.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.23 / $2.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.23