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South Dakota rates for HCPCS J0945

Injection, brompheniramine maleate, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.92 / $0.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.76 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $1.25 / $2.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.80 / $0.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.42 / $0.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.57 / $0.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.88