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North Dakota rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $4.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.64 / $2.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $6.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.24 / $2.43