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North Dakota rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $508.96 / $935.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $628.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.17 / $554.94 / $562.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.35 / $554.11 / $559.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.08 / $508.96 / $633.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.26 / $519.52 / $883.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.70 / $519.52 / $564.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.62 / $508.96 / $552.76