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North Dakota rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $33.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $22.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.69 / $19.79 / $20.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $19.76 / $19.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $18.48 / $21.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $18.07 / $22.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.66 / $18.39 / $31.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $20.60 / $20.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $20.32 / $20.32