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North Carolina rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $22.31 / $43.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $22.31 / $43.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.02 / $39.63 / $57.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $17.51 / $22.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $21.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.94 / $22.31 / $23.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $23.97
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $113.10