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North Dakota rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $54.14 / $103.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $67.68 / $67.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.22 / $59.52 / $60.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.34 / $59.43 / $60.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.40 / $56.40 / $64.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.96 / $70.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $67.68 / $92.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $61.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.94 / $56.40 / $61.25