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North Dakota rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.70 / $50.70 / $96.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $63.38 / $63.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.46 / $55.74 / $56.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $55.65 / $56.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.03 / $23.26 / $29.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $50.70 / $86.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $57.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.90 / $52.82 / $57.37