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North Dakota rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.20 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.38 / $1.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.15 / $1.29