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Minnesota rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $398.11 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $371.54 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $251.19 / $302.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $588.84 / $1,258.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $181.97 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $245.47 / $416.87