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Minnesota rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $64.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $60.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $64.73 / $109.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $55.72 / $57.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.60 / $171.40 / $208.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.48 / $63.14 / $67.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.91 / $156.41 / $196.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $52.95 / $72.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.43 / $57.43 / $97.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.43 / $57.43 / $79.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $104.01