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North Dakota rates for HCPCS J0130

Injection Abciximab 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.26 / $1,294.26 / $2,912.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.26 / $1,617.82 / $1,617.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.13 / $1,456.13 / $1,820.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.93 / $1,617.82 / $2,200.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.63 / $1,388.63 / $1,508.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.33 / $1,388.63 / $1,508.12