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Minnesota rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $100.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $52.26 / $8,326.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.57 / $58.34 / $115.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.34 / $50.43 / $50.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.64 / $60.54 / $151.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.60 / $58.08 / $63.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $51.71 / $51.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $52.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.43 / $85.23 / $226.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $56.48 / $77.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $56.83 / $91.98