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South Dakota rates for HCPCS J2794

Risperidone, Long Acting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $10.98 / $10.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $13.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $10.98 / $13.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.11 / $15.64 / $29.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $10.94 / $12.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $13.19 / $19.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $12.60 / $16.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $12.08
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.94 / $10.94 / $10.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $10.94 / $10.94