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North Dakota rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $21.53 / $37.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.73 / $33.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.35 / $23.47 / $23.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.92 / $23.47 / $23.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $22.19 / $27.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $27.17 / $40.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $78.20 / $971.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $78.20