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Minnesota rates for HCPCS J1571

Hepagam B Im Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $166.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.16 / $79.69 / $145.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.33 / $66.56 / $71.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.44 / $222.76 / $271.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.04 / $82.06 / $84.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.66 / $203.29 / $255.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.38 / $66.38 / $90.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.23 / $71.66 / $121.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $80.26 / $98.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $74.64 / $95.09