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Minnesota rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $4.78 / $122.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $19.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $5.50 / $14.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.47 / $14.57 / $17.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.41 / $6.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $13.30 / $16.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.09 / $6.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $15.84 / $44.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $9.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $8.67