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North Dakota rates for HCPCS J2504

Injection Pegademase Bovine 25 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $749.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $416.56 / $416.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $375.00 / $468.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.93 / $416.56 / $566.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $388.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.91 / $357.54 / $388.31