go back

South Dakota rates for HCPCS J1942

Aripiprazole lauroxil 1mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $3.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $2.83 / $3.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $2.91 / $2.91