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Minnesota rates for HCPCS 80377

Drug/Substance Definitive Qual/Quant Nos 7/More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.00 / $186.00 / $186.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.54 / $5.76 / $158.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $5.76 / $5.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $26.49 / $63.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.18 / $11.54 / $15.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.36 / $24.02 / $49.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $9.09 / $14.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $35.57 / $112.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $15.63 / $51.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $14.51 / $51.50