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South Dakota rates for HCPCS J7610

Albuterol, inhalation solution, compounded product, administered through DME, concentrated form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.19 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.21 / $3.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.15 / $14.15 / $14.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.19