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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
$496.74 / $496.74 / $993.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $536.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.58 / $571.24 / $1,066.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.21 / $496.51 / $496.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.21 / $592.49 / $1,537.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.12 / $587.44 / $642.70
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.17 / $506.10 / $506.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.06 / $506.06 / $534.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.50 / $496.51 / $839.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.51 / $556.09 / $661.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $556.35 / $900.49