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North Dakota rates for HCPCS Q4174

Palingen Or Promatrx 0.36 Mg Per 0.25 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.20 / $1,195.20 / $1,195.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.20 / $1,240.02 / $1,494.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.61 / $1,222.28 / $1,323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.55 / $464.55 / $534.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.63 / $370.78 / $1,269.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.52 / $1,195.20 / $2,031.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.00 / $1,245.00 / $1,394.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.00 / $1,245.00 / $1,692.70