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North Dakota rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $6,549.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $3,660.83 / $4,403.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,971.66 / $3,991.52 / $4,042.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,375.91 / $3,985.56 / $4,021.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,729.90 / $3,729.90 / $4,289.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,632.59 / $3,660.83 / $4,540.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,268.45 / $3,638.86 / $6,186.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,565.32 / $3,638.86 / $3,951.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,111.71 / $3,660.83 / $3,975.84