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North Dakota rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.33 / $292.33 / $559.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $365.42 / $365.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.22 / $314.79 / $318.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.24 / $314.32 / $318.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.91 / $211.00 / $265.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.33 / $357.96 / $496.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $323.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.56 / $298.30 / $323.97