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Minnesota rates for HCPCS G9017

Amantadine Hcl 100mg Oral

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.58 / $8.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.32 / $1.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $3.27 / $6.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00