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North Dakota rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $33.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $22.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.77 / $22.88 / $23.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $22.85 / $23.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $24.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.78 / $20.98 / $25.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $20.26 / $56.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $18.84 / $21.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.84 / $20.99 / $22.80