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North Dakota rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $392.09 / $708.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.08 / $396.00 / $476.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.38 / $427.51 / $430.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.57 / $426.87 / $432.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.85 / $405.87 / $502.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.23 / $425.98 / $1,973.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.55 / $393.87 / $441.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $490.12