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Minnesota rates for HCPCS J1455

Foscarnet Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $16.07 / $31.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $17.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.32 / $59.07 / $176.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $15.58 / $80.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $11.94 / $14.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $22.23 / $27.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $10.90 / $13.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $22.01 / $29.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.65 / $15.58 / $26.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.58 / $15.58 / $28.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $31.72