go back

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
$45.71 / $57.54 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $48.98 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $51.29 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $51.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $50.12 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $54.95