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Minnesota rates for HCPCS J9320

Streptozocin 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.00 / $1,560.00 / $1,560.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.00 / $1,248.00 / $1,560.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.22 / $523.41 / $850.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.98 / $356.22 / $356.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.27 / $483.32 / $1,211.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.95 / $471.47 / $510.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.18 / $486.56 / $1,318.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.18 / $377.18 / $402.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.67 / $370.18 / $419.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.09 / $1,402.67 / $2,356.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,367.34 / $2,410.19