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South Dakota rates for HCPCS J2770

Injection, quinupristin/dalfopristin, 500 mg (150/350)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $478.63 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $724.44 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $467.74 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $512.86
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27