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Minnesota rates for HCPCS J1573

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $143.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $71.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.16 / $96.93 / $259.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.33 / $71.66 / $97.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.87 / $168.42 / $205.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.38 / $70.36 / $84.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.42 / $153.69 / $192.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $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 / $95.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $74.64 / $120.80