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North Dakota rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $90.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $51.24 / $61.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.04 / $55.32 / $56.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.78 / $55.23 / $55.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.71 / $51.71 / $59.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.60 / $62.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.59 / $50.43 / $85.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $56.48 / $56.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $56.83 / $56.83