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North Dakota rates for HCPCS J0220

Injection Aglucosidase Alfa 10 Mg Not Otherwise Specified (Revised 010112)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.22 / $194.22 / $234.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.63 / $212.63 / $265.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $234.00 / $234.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $254.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $234.00 / $254.14