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South Dakota rates for HCPCS J7605

Arformoterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 15 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.72 / $0.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $2.16 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.79 / $1.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.97 / $11.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $5.87 / $11.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.80
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.87