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South Dakota rates for HCPCS J7999

Compounded drug, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.65 / $82.17 / $791.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $112.50 / $187.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.10 / $30.19 / $258.73