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North Dakota rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $10.74 / $10.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.22 / $2.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.22 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $3.68 / $32.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.61 / $2.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.04 / $2.22