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Minnesota rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Facilitymedian $20 · 10th–90th $13–$580%20%40%10th90th$20Professionalmedian $13 · 10th–90th $11–$200%20%40%10th90th$13$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $19.95 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $60.26 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $20.89 / $22.91
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $67.61
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $24.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $28.18 / $34.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $38.90