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Minnesota rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.79 / $0.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.52 / $0.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.80 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.32 / $1.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.63 / $4.27
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.10 / $1.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.70