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North Dakota rates for HCPCS J1950

Injection, leuprolide acetate (for depot suspension), per 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.32 / $1,730.32 / $3,126.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.31 / $1,747.63 / $2,101.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.24 / $1,886.63 / $1,910.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.65 / $1,883.81 / $1,900.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.83 / $1,718.84 / $2,127.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.79 / $1,543.52 / $2,953.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.10 / $1,933.76 / $2,100.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $1,926.21 / $2,091.96