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North Dakota rates for HCPCS Q0510

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $47.50 / $47.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $23.44 / $29.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $90.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $87.28 / $118.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.88 / $85.00 / $118.70