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North Dakota rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $384.85 / $686.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $461.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.52 / $419.61 / $424.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.89 / $418.98 / $422.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.69 / $388.69 / $485.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.64 / $393.72 / $648.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.64 / $431.25 / $461.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $428.42 / $479.83