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South Dakota rates for HCPCS J2794

Injection, risperidone (RISPERDAL CONSTA), 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $14.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $15.49 / $30.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.96 / $10.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $11.22 / $12.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96