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North Carolina rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $34.44 / $245.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.83 / $2.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $3.11 / $3.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.83 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.83 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.62 / $2.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $2.25 / $227.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $2.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $2.99 / $2.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.48 / $552.48 / $552.48