go back

Minnesota rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $432.02 / $698.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $940.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.83 / $483.89 / $828.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.21 / $436.51 / $446.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.36 / $1,191.45 / $1,450.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.76 / $485.23 / $581.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.20 / $1,087.28 / $1,364.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $457.76 / $622.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.10 / $436.51 / $737.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.51 / $436.51 / $602.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $777.64