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Minnesota rates for HCPCS J2504

Injection Pegademase Bovine 25 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.56 / $416.56 / $416.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $345.74 / $416.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.00 / $529.54 / $891.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $354.08 / $354.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.10 / $1,194.44 / $1,454.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.75 / $440.00 / $476.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.70 / $1,090.00 / $1,368.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $375.00 / $510.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.99 / $297.08 / $563.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $643.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $643.57