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North Dakota rates for HCPCS J1573

Injection Hepatitis B Immune Globulin (Hepagam B) Intravenous 0.5ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $128.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $86.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.30 / $72.66 / $73.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.46 / $72.55 / $73.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.38 / $66.64 / $82.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $106.79 / $121.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.76 / $80.26 / $80.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.94 / $74.64 / $74.64