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North Dakota rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.69 / $0.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.64 / $0.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.94 / $1.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.62 / $0.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.63 / $0.71