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South Dakota rates for HCPCS J7612

Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg

Facilitymedian $0 · 10th–90th $0–$10%20%40%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%20%10th90th$0$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.51 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.30 / $0.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.35 / $0.36
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.38 / $0.44
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.27 / $0.38
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.30 / $0.42