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North Carolina rates for HCPCS J0897

Injection, denosumab, 1 mg

Facilitymedian $4,571 · 10th–90th $28–$8,5110%10%10th90th$4,571Professionalmedian $813 · 10th–90th $29–$4,0740%10%20%10th90th$813$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $812.83 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $53.70 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $33.11
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $29.51 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $45.71 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $30.90 / $40.74
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91