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South Dakota rates for HCPCS J7674

Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $1.76 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.67 / $2.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $2.92 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.73 / $1.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.93 / $2.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.83 / $2.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.76 / $1.94
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.89