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Minnesota rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.65 / $371.65 / $371.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $308.47 / $371.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.58 / $464.37 / $733.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.72 / $315.89 / $315.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.86 / $419.99 / $1,052.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.75 / $357.25 / $416.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.75 / $422.80 / $1,145.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.75 / $327.75 / $349.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.21 / $321.72 / $334.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $344.77 / $1,255.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $328.29 / $592.51