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South Dakota rates for HCPCS J3090

Injection, tedizolid phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.96 / $2.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.96 / $2.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.73 / $5.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.91 / $2.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $2.29 / $3.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.09 / $2.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.96 / $2.16
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $1.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $1.91