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North Dakota rates for HCPCS J1602

Injection, golimumab, 1 mg, for intravenous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.59 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $11.22 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $14.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $13.18 / $18.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.96 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $12.88