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South Dakota rates for HCPCS J7615

Levalbuterol Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.44 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.89 / $2.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.57 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $3.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.50 / $3.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.27 / $5.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.10