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North Dakota rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.08 / $82.08 / $147.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $99.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.04 / $89.49 / $90.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.95 / $89.49 / $90.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $82.07 / $99.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $90.10 / $147.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $91.18 / $337.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $99.23