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South Dakota rates for HCPCS J3370

Injection, vancomycin HCl, 500 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $33.95 / $127.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.86 / $1.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.45 / $4.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.76 / $5.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $3.18