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Minnesota rates for HCPCS J0220

Injection Aglucosidase Alfa 10 Mg Not Otherwise Specified (Revised 010112)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.22 / $194.22 / $198.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.56 / $297.47 / $479.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.36 / $206.70 / $206.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.55 / $677.24 / $824.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.75 / $249.48 / $270.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.46 / $618.03 / $775.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.63 / $212.63 / $289.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.15 / $206.70 / $222.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $322.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $421.20