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North Dakota rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $238.46 / $312.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.46 / $238.46 / $245.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.70 / $259.99 / $263.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.66 / $259.99 / $263.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.35 / $185.44 / $238.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $321.23 / $763.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.98 / $193.30 / $16,586.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $265.45 / $337.02