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North Dakota rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.54 / $112.54 / $212.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $140.68 / $140.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.10 / $123.72 / $125.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $123.53 / $125.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.40 / $116.40 / $133.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.40 / $117.56 / $145.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.22 / $124.43 / $189.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.85 / $117.24 / $127.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.65 / $117.24 / $131.31