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South Dakota rates for HCPCS J3260

Injection, tobramycin sulfate, up to 80 mg

Facilitymedian $2 · 10th–90th $2–$280%20%10th90th$2Professionalmedian $2 · 10th–90th $2–$30%50%10th90th$2$2.0$5.0$10.0$20.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $4.17 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.51
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.62 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $4.17 / $6.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.45 / $2.45
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.04 / $2.57
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.34