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Minnesota rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $308.68 / $372.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $645.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.41 / $354.98 / $569.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.44 / $306.80 / $306.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.17 / $368.20 / $919.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.47 / $351.38 / $380.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.18 / $314.51 / $314.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.48 / $299.48 / $319.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.79 / $306.80 / $518.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.80 / $306.80 / $423.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $555.62