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South Dakota rates for HCPCS J7620

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, noncompounded, administered through DME

Facilitymedian $4 · 10th–90th $0–$70%20%40%10th90th$4Professionalmedian $0 · 10th–90th $0–$30%10%10th90th$0$0.1$0.5$2.0$10.0$50.0

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
$3.98 / $4.07 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.89 / $2.69
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.20 / $0.20
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.19 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.34 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.20 / $0.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.23 / $0.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.20 / $0.28
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.22