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North Carolina rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.43 / $513.98 / $857.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.97 / $458.97 / $629.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $914.64 / $1,126.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.10 / $444.10 / $519.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $604.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.97 / $605.66 / $665.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.97 / $149.97 / $149.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $661.65
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.01 / $690.08 / $2,544.80