go back

North Dakota rates for HCPCS J0716

Injection Centruroides Immune F(Ab)2 Up To 120 Milligrams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,036.26 / $5,036.26 / $9,631.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,036.26 / $6,295.32 / $6,295.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,508.41 / $5,535.95 / $5,607.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,682.14 / $5,527.69 / $5,607.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,718.88 / $3,756.06 / $4,722.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,036.26 / $5,036.26 / $15,108.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.10 / $5,246.10 / $5,697.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,459.18 / $5,246.10 / $5,697.53