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Minnesota rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $741.31 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $537.03 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $630.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $512.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $537.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $891.25