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South Dakota rates for HCPCS J1201

Injection, cetirizine HCl, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.55 / $19.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $16.10 / $19.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.88 / $23.45 / $44.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $16.39 / $18.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.75 / $19.68 / $27.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.93 / $18.75 / $23.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $18.17
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $16.39 / $16.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $16.39 / $16.39