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North Dakota rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $169.82 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $138.04 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $147.91 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $141.25 / $158.49