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South Dakota rates for HCPCS J2280

Injection, moxifloxacin, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $13.80 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.33 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $11.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $14.79 / $23.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.71 / $9.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.12 / $10.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12