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North Dakota rates for HCPCS J9331

Injection, sirolimus protein-bound particles, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $84.57 / $152.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $102.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.75 / $92.21 / $93.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.26 / $92.21 / $93.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $119.85 / $152.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $126.86 / $152.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.53 / $96.36 / $518.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $94.14 / $102.24