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North Carolina rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $2.04 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $6.11 / $6.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.15 / $2.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.40 / $3.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $100.00 / $100.00