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North Dakota rates for HCPCS J7202

Injection, Factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $9.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $6.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $5.80 / $5.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.79 / $5.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.32 / $6.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $6.65 / $16.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.34 / $5.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.32 / $5.78