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South Dakota rates for HCPCS J2783

Injection, rasburicase, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $537.03 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $416.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $426.58
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19