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North Carolina rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.13 / $41.66 / $46.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.13 / $25.13 / $43.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.77 / $70.23 / $83.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.39 / $25.39 / $47.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $42.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.13 / $42.30 / $44.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $11.32 / $11.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $46.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $177.75