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South Dakota rates for HCPCS J7685

Tobramycin Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.90 / $64.90 / $64.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.65 / $55.20 / $64.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $55.30 / $68.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.13 / $85.60 / $316.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $14.46 / $114.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.48 / $74.52 / $97.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $97.45 / $149.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $21.12