go back

Minnesota rates for HCPCS J7340

Carbidopa 5 Mg/Levodopa 20 Mg Enteral Suspension 100 Ml (Desc Revised 01/01/2017) Dermal And Epidermal (Substitute) Tissue Of Humanorigin With Or Without Bioengineered Or Processed Elements With Metabolically Active Elements Per Square Centimeter (Del 12/31/08)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $294.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.70 / $235.06 / $439.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.52 / $235.86 / $243.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.25 / $762.77 / $928.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.63 / $280.98 / $305.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.33 / $674.36 / $855.72
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.23 / $240.23 / $255.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.26 / $243.15 / $1,178.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.77 / $243.15 / $440.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $441.62