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North Dakota rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.12 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $2.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.93 / $1.05