go back

North Dakota rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $432.02 / $785.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $436.33 / $528.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.70 / $471.04 / $477.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.40 / $470.34 / $474.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.76 / $457.76 / $572.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $458.18 / $742.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.51 / $436.51 / $487.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.22 / $432.02 / $469.20