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Minnesota rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.79 / $518.79 / $518.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $420.23 / $518.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,795.08 / $73,778.00 / $148,932.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,831.21 / $27,831.21 / $27,831.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.27 / $419.98 / $835.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.69 / $1,754.69 / $1,754.69