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Minnesota rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Facilitymedian $81 · 10th–90th $55$1950%20%10th90th$81Professionalmedian $55 · 10th–90th $44$650%50%10th90th$55$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
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $52.48 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $81.28 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $54.95 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $204.17 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $70.79 / $77.62
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $194.98 / $229.09
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $83.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $87.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $104.71