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Minnesota rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $43.65 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $4.27 / $4.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.04 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $7.08 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.40 / $2.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $6.76 / $7.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $32.36 / $60.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $3.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.98