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North Dakota rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $164.59 / $302.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $203.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.56 / $179.45 / $181.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.78 / $179.18 / $180.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.70 / $167.70 / $192.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.39 / $166.39 / $207.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $170.93 / $285.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.30 / $168.13 / $182.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.90 / $164.59 / $178.75