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North Dakota rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.09 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.52 / $1.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.52 / $1.70