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Minnesota rates for HCPCS J0791

Injection Crizanlizumab-Tmca 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $129.47 / $259.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $320.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.13 / $171.07 / $271.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $129.58 / $129.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.30 / $154.44 / $402.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.24 / $153.65 / $167.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.93 / $131.93 / $132.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.93 / $131.93 / $139.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.58 / $129.58 / $218.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.58 / $129.58 / $178.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $234.72