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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
$377.52 / $377.52 / $377.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $455.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.44 / $377.52 / $471.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.72 / $538.37 / $1,031.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.48 / $412.40 / $419.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.10 / $451.78 / $647.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.32 / $421.76 / $554.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.13 / $413.13 / $413.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $420.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.48 / $376.48 / $376.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.48 / $376.48 / $376.48