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Minnesota rates for HCPCS J0641

Injection, levoleucovorin, not otherwise specified, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.17 / $0.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.06 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.11 / $0.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.07 / $1.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.11