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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
$1.10 / $1.10 / $2.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.13 / $1.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.22 / $1.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.22 / $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 / $1.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.14 / $1.25