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South Dakota rates for HCPCS J2780

Injection, ranitidine hydrochloride, 25 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $7.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32