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Minnesota rates for HCPCS J1620

Injection Gonadorelin Hydrochloride Per 100 Mcg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.61 / $212.61 / $212.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.09 / $176.47 / $212.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.35 / $285.41 / $499.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.66 / $198.32 / $198.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.97 / $593.63 / $722.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.24 / $218.68 / $236.70
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.55 / $541.73 / $679.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.38 / $186.38 / $253.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.84 / $255.22 / $359.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $248.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $326.85