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South Dakota rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Facilitymedian $1 · 10th–90th $1–$20%50%90th$1Professionalmedian $1 · 10th–90th $1–$10%20%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.48 / $2.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.93 / $0.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $0.93 / $1.17