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North Dakota 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
$18.44 / $18.44 / $31.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $21.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.10 / $20.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.07 / $20.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.60 / $18.60 / $23.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.96 / $23.08 / $29.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $17.51 / $19.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $18.44 / $20.03