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North Dakota rates for HCPCS J7503

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $3.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $2.00 / $2.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.00 / $2.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.84 / $2.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.02 / $3.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.83 / $552.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.99