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North Dakota rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $6,791.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $4,565.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,141.39 / $4,162.10 / $4,215.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,520.18 / $4,155.88 / $4,193.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,572.21 / $3,607.93 / $4,465.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,747.31 / $3,772.85 / $6,413.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.85 / $4,199.97 / $4,561.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $4,249.43 / $4,615.09