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South Dakota rates for HCPCS J7669

Metaproterenol sulfate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.66 / $1.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $1.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.62 / $0.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.62 / $1.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.48