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North Dakota rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $51.34 / $98.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $64.18 / $64.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.75 / $60.75 / $75.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $64.18 / $87.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $61.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.96 / $56.42 / $61.27