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North Dakota rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $79.26 / $142.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $96.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.99 / $86.42 / $87.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $86.29 / $87.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.73 / $80.73 / $92.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $79.20 / $98.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.29 / $79.39 / $134.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.95 / $79.39 / $86.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.37 / $79.26 / $86.08