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North Dakota rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $7.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.83 / $4.84 / $4.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $4.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $4.47 / $5.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.53 / $8.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.84 / $1,033.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.38