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South Dakota rates for HCPCS J7613

Albuteral Inhalation Solution Fda-Approved Final Product Non-Compounded Administered Through Dme Unit Dose 1 Mg (Code Eff Changed Back To 010105 Due To Old Claims)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.22 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.09 / $0.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08