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North Dakota rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.64 / $258.64 / $465.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.63 / $258.64 / $313.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.60 / $282.00 / $285.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.34 / $282.00 / $285.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.61 / $258.64 / $322.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.44 / $258.52 / $465.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.52 / $287.79 / $6,942.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $312.70