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North Carolina rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.90 / $500.00 / $795.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.90 / $448.09 / $612.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.80 / $909.91 / $1,030.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.68 / $391.68 / $519.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $508.76 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $596.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.90 / $605.41 / $647.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.57 / $340.57 / $340.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $788.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.74 / $676.74 / $2,423.75