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South Dakota rates for HCPCS J2770

Quinupristin/Dalfopristin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.21 / $559.21 / $559.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.14 / $559.21 / $559.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.29 / $503.29 / $629.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.02 / $719.70 / $1,379.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.18 / $466.01 / $512.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.39 / $443.30 / $666.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.02 / $479.03 / $666.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.11 / $466.01 / $512.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.01 / $466.01 / $466.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.01 / $466.01 / $466.01