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North Dakota rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.45 / $6.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $4.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $3.76 / $3.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.76 / $4.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $4.58 / $5.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $4.20 / $6.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $5.89 / $111.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $6.92