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North Carolina rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $309.03 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $302.00 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $426.58 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $363.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $323.59 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $309.03 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $398.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89