go back

Minnesota rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $508.96 / $978.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $1,163.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.00 / $585.29 / $1,031.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.62 / $519.52 / $519.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.24 / $1,595.65 / $1,942.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.15 / $587.79 / $643.99
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.80 / $1,456.13 / $1,827.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.08 / $507.08 / $689.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.62 / $519.52 / $877.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.52 / $519.52 / $808.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $702.47