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South Dakota rates for HCPCS J2780

Ranitidine Hydrochloride Inj

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $7.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $1.97 / $1.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $2.08 / $7.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.08 / $15.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32