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North Dakota rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $46.70 / $89.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $58.38 / $58.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.08 / $51.34 / $51.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.42 / $51.26 / $51.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $41.44 / $51.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.96 / $50.26 / $79.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $52.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.35 / $48.65 / $54.49