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Minnesota rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,987.60 / $27,987.60 / $27,987.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,229.71 / $27,987.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,054.43 / $23,870.14 / $49,825.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,031.57 / $23,091.78 / $23,789.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,319.68 / $4,090.33 / $10,249.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,223.92 / $3,990.00 / $4,324.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,192.00 / $4,117.68 / $11,154.12
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,192.00 / $3,192.00 / $3,404.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,118.13 / $27,987.60 / $27,987.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $25,963.40 / $103,405.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $24,722.38 / $47,843.40