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North Dakota rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $13.10 / $25.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $16.37 / $16.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $15.38 / $19.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $13.10 / $39.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $14.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $13.64 / $14.81