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North Dakota rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.41 / $43.41 / $61.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $43.41 / $43.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.10 / $47.34 / $47.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $47.26 / $47.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $63.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.11 / $52.50 / $102.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $34.11 / $50.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $43.41 / $47.15