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North Dakota rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $78.80 / $147.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $98.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.49 / $85.92 / $87.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.67 / $85.79 / $86.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $80.29 / $92.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.54 / $82.54 / $103.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.56 / $81.70 / $138.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $91.50 / $91.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $88.26 / $88.26