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South Dakota rates for HCPCS J7644

Ipratropium bromide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg

Facilitymedian $0 · 10th–90th $0–$10%20%40%10th90th$0Professionalmedian $1 · 10th–90th $0–$70%20%10th90th$1$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
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $7.08
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.66 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.39 / $0.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.43 / $0.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $0.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.40 / $0.51
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.40
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.40 / $0.44