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North Dakota rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $64.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $43.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $38.76 / $39.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $38.70 / $39.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $35.00 / $43.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.01 / $35.74 / $61.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.99 / $35.90 / $39.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $38.61