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Minnesota rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.19 / $2.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.54 / $5.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.46 / $2.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $7.17 / $8.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.64 / $2.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $6.54 / $8.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $3.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.31 / $4.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $3.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $4.03