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North Dakota rates for HCPCS J9245

Injection, melphalan HCl, not otherwise specified, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $95.90 / $194.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $130.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.04 / $104.56 / $105.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.74 / $104.56 / $105.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $161.69 / $203.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.03 / $172.62 / $610.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.03 / $123.15 / $5,879.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $106.76 / $119.57