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South Dakota rates for HCPCS J7640

Formoterol, inhalation solution, compounded product, administered through DME, unit dose form, 12 mcg

Facilitymedian $2 · 10th–90th $2–$40%50%90th$2Professionalmedian $2 · 10th–90th $2–$20%50%10th$2$0.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.98 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.51 / $1.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.51 / $1.91