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North Dakota rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $4.78 / $93.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $6.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $5.22 / $5.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $5.21 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $6.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.58 / $11.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.13 / $5.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.78 / $5.19