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North Dakota rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,390.08 / $22,390.08 / $42,821.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,229.71 / $27,987.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,489.15 / $24,611.60 / $24,927.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,888.63 / $24,611.60 / $24,927.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,192.00 / $3,990.00 / $23,789.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,299.84 / $22,390.08 / $29,107.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $25,963.40 / $103,405.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $28,197.55