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North Dakota rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.34 / $1.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.34 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.13 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.32 / $3.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.21 / $1.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.23 / $1.34