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North Carolina rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $102.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.20 / $75.98 / $89.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.45 / $140.81 / $194.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.88 / $76.88 / $76.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $89.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $80.55 / $98.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $84.93 / $84.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $96.85
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.40 / $89.40 / $384.55