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South Dakota rates for HCPCS J2280

Inj, Moxifloxacin 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $9.02 / $10.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $9.01 / $10.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $14.72 / $23.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $8.71 / $9.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $10.38 / $13.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.29 / $13.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.92
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71