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North Dakota rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.39 / $48.39 / $92.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $50.21 / $60.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.92 / $53.18 / $53.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.14 / $53.18 / $53.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $11.34 / $51.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $48.54 / $60.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $56.28 / $411.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $56.11 / $60.94