go back

Minnesota rates for HCPCS J1458

Galsulfase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $508.76 / $536.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $1,063.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.89 / $550.37 / $938.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.41 / $505.51 / $505.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.69 / $606.85 / $1,516.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.97 / $579.48 / $627.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.32 / $518.36 / $518.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.03 / $494.03 / $526.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.89 / $505.51 / $854.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.51 / $505.51 / $728.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $943.24