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North Dakota rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $13.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $9.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $6.69 / $6.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $6.68 / $6.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $10.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $8.99 / $15.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $8.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $6.14 / $6.67