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North Dakota rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $4,393.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,953.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,636.20 / $2,649.38 / $2,683.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.61 / $2,649.38 / $2,683.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,475.75 / $2,475.75 / $2,847.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,487.56 / $3,159.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,684.77 / $4,377.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,440.69 / $2,717.89 / $10,655.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,029.58