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North Dakota rates for HCPCS J2680

Injection Fluphenazine Decanoate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $7.31 / $13.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $9.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $7.97 / $8.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $7.96 / $8.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $11.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $10.95 / $25.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $7.53 / $8.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $7.31 / $8.19