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North Dakota rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $3,803.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,137.48 / $2,557.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.01 / $2,307.48 / $2,337.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.61 / $2,304.05 / $2,324.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.92 / $2,117.92 / $2,647.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.49 / $2,098.00 / $3,592.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.71 / $2,113.23 / $2,295.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.87 / $2,116.32 / $2,298.42