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Minnesota rates for HCPCS J1571

Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $100.00 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $64.57 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $234.42 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $83.18 / $89.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $223.87 / $263.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $72.44 / $120.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $79.43 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $77.62 / $125.89