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North Dakota rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $77.39 / $139.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $93.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.96 / $84.38 / $85.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $84.25 / $85.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.86 / $78.86 / $90.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.75 / $78.75 / $98.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.95 / $77.27 / $231.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.27 / $86.54 / $86.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.63 / $86.68 / $95.02