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North Dakota rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,879.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,263.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.89 / $1,139.56 / $1,154.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.81 / $1,137.85 / $1,148.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.24 / $1,063.24 / $1,329.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.46 / $1,113.51 / $1,775.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.55 / $1,044.14 / $1,133.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.38 / $1,045.15 / $1,135.08