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North Dakota rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $3.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.90 / $1.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.90 / $1.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.44 / $1.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $3.51 / $19.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.64 / $1.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.75 / $1.90