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Minnesota rates for HCPCS J1562

Injection Immune Globulin Intravenous 5 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.15 / $10.15 / $10.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $9.21 / $10.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.27 / $264.73 / $463.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.16 / $183.95 / $183.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.88 / $23.89 / $29.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $8.80 / $9.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.97 / $21.80 / $27.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.50 / $10.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $13.46 / $17.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $16.13 / $19.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $16.13 / $28.41