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South Dakota rates for HCPCS J7648

Isoetharine Hcl Inhalation Solution Administered Through Dme Concentrated Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $163.24 / $202.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.27 / $0.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.72 / $0.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.72 / $0.79