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North Dakota rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.20 / $775.20 / $1,563.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.20 / $886.92 / $1,086.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.63 / $1,271.59 / $1,523.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.20 / $1,302.75 / $1,602.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $5,826.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $1,421.39