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North Dakota rates for HCPCS J1568

Injection, immune globulin, (Octagam), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.53 / $47.53 / $87.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $48.00 / $58.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.56 / $51.82 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $51.74 / $52.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.41 / $48.41 / $55.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $61.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.12 / $48.38 / $84.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.38 / $54.19 / $54.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $53.23 / $53.23