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Minnesota rates for HCPCS J1568

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.53 / $47.53 / $96.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $48.00 / $65.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.55 / $54.65 / $108.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.70 / $48.38 / $48.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $56.68 / $153.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.46 / $58.56 / $62.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.41 / $48.41 / $50.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.41 / $48.98 / $53.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $48.38 / $81.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.38 / $54.19 / $70.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $53.23 / $86.16