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North Carolina rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $912.01 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $645.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $645.65 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $891.25 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $724.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38