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North Dakota rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $9.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $13.49 / $23.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $16.22 / $16.22