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Minnesota rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $114.82 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $125.89 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $107.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $151.36 / $295.12
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $97.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $154.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $87.10 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $120.23