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North Dakota rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $537.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $457.09 / $741.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $416.87 / $467.74