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North Dakota rates for HCPCS J1562

Injection Immune Globulin Intravenous 5 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.08 / $8.08 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $10.15 / $10.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.50 / $9.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.08 / $13.59 / $24.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $16.13 / $16.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $16.13 / $16.13