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Minnesota rates for HCPCS J0850

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $3,618.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $3,922.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.03 / $1,989.13 / $3,428.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.55 / $1,809.44 / $1,809.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.73 / $5,890.00 / $7,170.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.66 / $2,169.73 / $2,344.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,952.31 / $5,375.01 / $6,745.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.20 / $1,846.20 / $2,510.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.64 / $1,809.44 / $3,057.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.44 / $2,026.57 / $2,408.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $2,025.69 / $3,278.72