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Minnesota rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.32 / $1.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.94 / $5.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.04 / $2.04
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
$1.66 / $2.08 / $2.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.34