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North Dakota rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $31.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $21.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.27 / $18.36 / $18.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.53 / $18.32 / $18.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.18 / $17.18 / $19.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $21.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.28 / $25.26 / $52.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $19.70 / $19.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.86 / $20.60