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North Dakota rates for HCPCS Q4081

Injection, epoetin alfa, 100 units (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.85 / $0.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.92 / $1.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.86 / $1.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.01