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North Dakota rates for HCPCS J2425

Injection, palifermin, 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $36.31 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $39.81 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $46.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $61.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $36.31 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $40.74