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North Dakota rates for HCPCS 80375

Drug/Substance Definitive Qual/Quant Nos 1-3

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.19 / $69.98 / $70.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $24.19 / $30.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $35.90 / $112.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $25.52 / $41.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $12.27 / $33.85