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South Dakota rates for HCPCS J0132

Acetylcysteine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $137.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.63 / $2.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.65 / $1.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.82 / $2.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.43
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37