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Minnesota rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.68 / $67.68 / $67.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $56.17 / $67.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $69.00 / $127.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.02 / $57.53 / $57.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.42 / $66.03 / $173.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.96 / $66.18 / $71.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.40 / $56.40 / $56.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $60.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.68 / $67.68 / $114.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $77.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $77.84