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North Dakota rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.04 / $415.04 / $755.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $430.60 / $518.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.95 / $456.22 / $462.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.27 / $395.27 / $671.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.69 / $1,754.69 / $1,754.69