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North Dakota rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $2.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.45 / $1.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.28 / $1.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.28 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.76 / $0.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.45 / $4.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.21 / $1.36