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Minnesota rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.20 / $1.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.77 / $4.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.45 / $1.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $2.39 / $2.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.88 / $0.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.18 / $2.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $2.44 / $4.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $2.19