go back

North Dakota rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $22.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $31.62 / $56.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.38 / $19.50