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North Dakota rates for HCPCS M0248

Intravenous Infusion Sotrovimab Includes Infusion And Post Administration Monitoring In Thehome Or Residence; This Includes A Beneficiarys Home That Has Been Made Provider-Based To The Hospital During The Covid-19 Public Health Emer- Gency

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $750.00 / $862.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $937.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.93 / $1,375.43 / $1,656.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.54 / $1,402.50 / $1,656.24