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North Carolina rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $111.25 / $438.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.24 / $50.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $5.72 / $9.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $4.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.40 / $5.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.70 / $4.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $3.20 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00