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South Dakota rates for HCPCS J2786

Cinqair IV SOLN 100 MG/10ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $12.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.18 / $11.18 / $11.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $10.95 / $13.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.38 / $15.13 / $28.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $10.58 / $11.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.38 / $12.69 / $18.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $12.59 / $25.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $11.98 / $11.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $13.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.58 / $10.58 / $10.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.58 / $10.58 / $10.58