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Minnesota rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $392.09 / $611.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.08 / $396.00 / $568.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.56 / $563.25 / $856.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.10 / $392.32 / $393.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.65 / $1,288.32 / $1,568.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.87 / $474.58 / $510.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.76 / $1,139.00 / $1,475.52
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.85 / $401.85 / $431.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.77 / $393.87 / $1,973.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.87 / $393.87 / $543.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $559.29