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Minnesota rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.46 / $2.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.21 / $1.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $3.58 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.32 / $1.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $3.27 / $4.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $2.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.21