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Minnesota rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.38 / $58.38 / $70.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $48.46 / $85.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $56.62 / $88.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $49.62 / $49.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.93 / $130.66 / $159.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.44 / $48.14 / $52.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.50 / $119.25 / $149.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $41.03 / $55.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.96 / $32.40 / $78.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $80.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $88.19