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North Dakota rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.14 / $2.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.94 / $3.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.40 / $2.69