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Minnesota rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.42 / $365.42 / $410.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $365.42 / $828.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.03 / $291.64 / $711.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.56 / $316.95 / $559.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.68 / $665.42 / $810.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.00 / $245.12 / $265.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.54 / $607.24 / $762.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.91 / $208.91 / $284.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.23 / $219.06 / $494.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $411.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $536.94