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North Dakota rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $508.76 / $909.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $611.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.95 / $554.71 / $561.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.16 / $553.88 / $558.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.36 / $518.36 / $596.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.03 / $498.97 / $617.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.92 / $505.51 / $859.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.88 / $505.51 / $549.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.45 / $508.76 / $552.54