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North Dakota rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.55 / $495.55 / $889.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $500.50 / $598.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.62 / $540.30 / $547.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.98 / $539.50 / $544.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.90 / $504.90 / $580.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.54 / $495.55 / $616.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $560.99 / $1,483.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.40 / $494.43 / $536.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.22 / $495.55 / $538.19