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North Carolina rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.93 / $1,112.45 / $1,499.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.93 / $879.59 / $1,112.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,399.50 / $3,399.50 / $3,399.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $1,145.17 / $1,145.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.02 / $1,001.02 / $35,600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.31 / $1,523.52 / $4,186.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.93 / $1,112.45 / $1,583.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.93 / $1,154.00 / $1,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $1,570.52
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.37 / $1,814.11 / $4,925.70
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,826.31 / $5,826.31 / $7,595.10