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South Dakota rates for HCPCS J7501

Azathioprine Parenteral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $300.00 / $300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $255.00 / $300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.50 / $223.50 / $279.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.53 / $386.10 / $1,139.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.22 / $250.00 / $280.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.53 / $87.60 / $343.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.93 / $174.87 / $283.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $255.00 / $255.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $275.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00