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North Carolina rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.22 / $21.85 / $39.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $21.41 / $25.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $36.70 / $44.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $19.89 / $19.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $20.99 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $20.99 / $20.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.41 / $22.29 / $24.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.04 / $21.04 / $21.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $27.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $104.95