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South Dakota rates for HCPCS J3243

Injection, tigecycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.85 / $4.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.51 / $0.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.83
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39