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North Dakota rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $9.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.96 / $6.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.95 / $6.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $5.48 / $6.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.36 / $16.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $6.00 / $6.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.08 / $6.60