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North Dakota rates for HCPCS J2840

Injection, sebelipase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.08 / $490.08 / $937.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.08 / $612.60 / $612.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.03 / $538.71 / $545.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.63 / $537.91 / $545.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.50 / $510.50 / $587.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.49 / $515.59 / $638.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.08 / $612.60 / $833.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $554.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.93 / $510.50 / $571.76