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North Dakota rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $49.28 / $84.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $56.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.46 / $53.73 / $54.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.44 / $53.65 / $54.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $43.56 / $53.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.68 / $46.91 / $79.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $46.91 / $50.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.89 / $49.28 / $55.19