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South Dakota rates for HCPCS J7342

Ciprofloxacin otic susp 6 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $33.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.20 / $33.97 / $33.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.56 / $30.56 / $38.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $43.73 / $83.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.32 / $28.32 / $31.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $37.72 / $42.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $37.72 / $78.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $28.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.32 / $28.32 / $31.15
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.32 / $28.32 / $28.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.32 / $28.32 / $28.32