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North Dakota rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $308.68 / $552.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $371.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.89 / $336.56 / $340.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.66 / $336.06 / $339.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.51 / $314.51 / $361.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.48 / $302.47 / $374.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.80 / $356.40 / $920.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.94 / $306.80 / $333.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.38 / $308.68 / $335.24