go back

South Dakota rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.52 / $973.52 / $973.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.70 / $973.52 / $973.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.63 / $1,223.61 / $1,499.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.36 / $1,283.89 / $1,835.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $5,826.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.20 / $1,224.94 / $1,648.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.20 / $1,461.68 / $1,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $1,439.65