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North Dakota rates for HCPCS Q9991

Injection, buprenorphine extended-release (Sublocade), less than or equal to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $3,557.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,391.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.63 / $2,198.57 / $2,226.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.49 / $2,195.29 / $2,214.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.55 / $1,981.17 / $2,451.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $2,540.81 / $5,929.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.23 / $1,976.55 / $2,146.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.96 / $2,016.42 / $2,189.92