go back

Minnesota rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $35.40 / $205.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $10.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.97 / $7.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.61 / $2.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $6.69 / $8.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.46 / $2.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $6.10 / $7.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.29 / $3.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $32.64 / $60.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $4.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.70