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North Dakota rates for HCPCS J1560

Injection, gamma globulin, intramuscular, over 10 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.48 / $170.48 / $300.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $202.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.95 / $185.87 / $188.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.21 / $185.60 / $187.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.70 / $173.70 / $199.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.08 / $498.08 / $622.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.06 / $415.99 / $501.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.06 / $167.06 / $488.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.91 / $170.48 / $185.15