go back

North Dakota rates for HCPCS J9301

Injection, obinutuzumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $89.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $83.18 / $104.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $81.28 / $141.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $97.72