go back

Minnesota rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.79 / $13.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.23 / $17.96 / $31.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $12.48 / $12.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.73 / $32.25 / $39.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.88 / $12.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.16 / $29.43 / $36.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $13.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $17.57 / $21.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $17.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $23.57