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South Dakota rates for HCPCS J7609

Albuterol, inhalation solution, compounded product, administered through DME, unit dose, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.91 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33