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North Dakota rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $496.74 / $893.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $600.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.91 / $541.60 / $548.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.07 / $540.79 / $545.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.10 / $506.10 / $582.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.06 / $506.06 / $632.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.41 / $567.88 / $1,489.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.51 / $556.09 / $556.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $556.35 / $556.35