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South Dakota rates for HCPCS J2405

Injection, ondansetron HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $95.18 / $265.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.11 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $19.89 / $63.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $1.42 / $1.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $9.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.43
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09