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North Carolina rates for HCPCS J3358

Ustekinumab, for intravenous injection, 1 mg

Facilitymedian $7,244 · 10th–90th $13–$18,6210%10%10th90th$7,244Professionalmedian $13 · 10th–90th $12–$5,7540%20%40%10th90th$13$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $7,244.36 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $20.42 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $17.38 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $13.18
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.59 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $21.38 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $17.38
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11