go back

North Carolina rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.08 / $354.08 / $354.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.74 / $354.08 / $354.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.16 / $687.06 / $824.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.31 / $379.31 / $379.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $416.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.66 / $354.08 / $375.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.33 / $247.33 / $247.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.64 / $255.12 / $255.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $464.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.40 / $584.44 / $7,359.25