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Minnesota rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $35.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $36.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $19.37 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.07 / $17.51 / $17.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.48 / $20.11 / $52.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $20.11 / $21.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.18 / $17.18 / $17.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $18.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $17.59 / $29.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $19.70 / $24.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.86 / $30.53