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Minnesota rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $3,981.07 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,548.13 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,888.44 / $6,309.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $3,981.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $4,897.79 / $6,918.31