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North Dakota rates for HCPCS J0791

Injection Crizanlizumab-Tmca 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $129.47 / $233.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $156.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.47 / $141.16 / $142.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.40 / $140.96 / $142.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.93 / $131.93 / $151.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.93 / $131.93 / $164.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.61 / $129.58 / $220.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.50 / $129.58 / $140.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.06 / $129.47 / $140.62