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North Dakota rates for HCPCS J9019

Injection, asparaginase (Erwinaze), 1,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.96 / $386.96 / $740.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $401.47 / $483.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.23 / $425.35 / $430.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.00 / $425.35 / $430.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $435.34 / $544.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.96 / $411.15 / $483.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $448.71 / $1,838.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $448.71 / $514.80