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South Dakota rates for HCPCS J7608

Acetylcysteine, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $10.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $15.14 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.91 / $13.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.00 / $10.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $8.51 / $12.59
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $9.55