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Minnesota rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $109.65 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.23 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $61.66 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $67.61 / $74.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $58.88 / $61.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $56.23 / $125.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $104.71