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North Dakota rates for HCPCS J7201

Injection, Factor IX, Fc fusion protein, (recombinant), Alprolix, 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $6.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $3.92 / $3.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.91 / $3.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.60 / $4.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.63 / $6.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.63 / $3.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.59 / $4.73