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Minnesota rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.99 / $1.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.06 / $4.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.44 / $1.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $4.78 / $5.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.76 / $1.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $4.36 / $5.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $1.35 / $1.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.76