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Minnesota rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $56.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $59.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $33.99 / $57.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $35.90 / $35.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.39 / $44.76 / $81.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $35.00 / $44.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.84 / $64.23 / $93.43
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.32 / $34.65 / $47.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.52 / $35.90 / $62.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $35.90 / $49.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $65.91