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Minnesota rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $5,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $7,338.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,194.98 / $3,757.59 / $7,217.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,911.09 / $3,638.86 / $3,638.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,794.56 / $4,366.59 / $10,893.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,668.91 / $4,162.80 / $4,613.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,579.77 / $3,729.90 / $3,729.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,632.59 / $3,632.59 / $3,784.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.51 / $3,638.86 / $6,149.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,638.86 / $3,638.86 / $5,022.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $6,787.18