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South Dakota rates for HCPCS J1741

Injection, ibuprofen, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.07 / $3.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $4.34 / $8.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.04 / $3.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $3.57 / $3.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.42 / $4.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.41
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04