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North Dakota rates for HCPCS J7170

Injection Emicizumab-Kxwh 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $103.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $69.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.86 / $61.16 / $61.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.73 / $61.07 / $61.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $53.48 / $66.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.43 / $72.54 / $172.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.98 / $57.43 / $62.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.69 / $56.10 / $62.83