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Minnesota rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.52 / $973.52 / $973.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.98 / $973.52 / $1,112.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.26 / $1,780.24 / $2,738.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.60 / $1,237.00 / $1,237.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.41 / $3,821.00 / $4,651.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.61 / $1,407.56 / $1,523.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.24 / $3,378.14 / $4,191.97
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.63 / $1,199.63 / $1,279.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.52 / $1,156.08 / $1,645.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $5,826.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $2,298.85