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North Dakota rates for HCPCS J0287

Injection Amphotericin B Lipid Complex 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $10.30 / $18.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $12.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.17 / $11.23 / $11.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $11.21 / $11.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $10.50 / $13.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $11.13 / $17.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $11.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $10.30 / $11.19