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North Dakota rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $630.96