go back

North Dakota rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.41 / $173.27 / $174.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.55 / $173.01 / $175.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $153.09 / $189.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.43 / $160.51 / $654.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $177.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $177.99