go back

North Dakota rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $12.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $12.88 / $17.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $14.13