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North Dakota rates for HCPCS J1632

Injection Brexanolone 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $71.52 / $136.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $89.40 / $89.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.23 / $78.62 / $79.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.50 / $78.50 / $79.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $89.40 / $121.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $80.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.33 / $74.50 / $80.91