go back

Minnesota rates for HCPCS J0490

Belimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.07 / $56.07 / $112.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $58.33 / $5,209.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.20 / $63.51 / $120.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $56.01 / $56.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.14 / $66.86 / $169.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.59 / $64.72 / $71.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.66 / $57.11 / $57.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.03 / $56.03 / $58.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.78 / $56.01 / $127.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.01 / $56.01 / $83.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $100.93