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Minnesota rates for HCPCS J1557

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.68 / $63.68 / $124.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $140.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.16 / $67.54 / $115.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $60.67 / $62.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.13 / $75.64 / $181.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.16 / $69.26 / $74.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.56 / $64.88 / $64.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.58 / $58.58 / $64.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.24 / $62.47 / $105.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $69.97 / $86.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $71.31 / $117.28