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North Dakota rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $70.79 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $85.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $102.33 / $173.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $70.79 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $79.43