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North Dakota rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $23.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $13.00 / $13.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.23 / $12.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $13.00 / $17.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $14.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $13.00 / $14.12