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North Dakota rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $25.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $17.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.55 / $15.63 / $15.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $15.60 / $15.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.63 / $14.63 / $16.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $14.05 / $17.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $17.05 / $42.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $15.81 / $15.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $16.05 / $16.05