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North Dakota rates for HCPCS J1429

Injection Golodirsen 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.60 / $153.60 / $293.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $192.00 / $192.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.84 / $171.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.80 / $168.59 / $171.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.00 / $160.00 / $184.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.01 / $161.61 / $200.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.60 / $192.00 / $261.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $173.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $160.00 / $173.77