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Minnesota rates for HCPCS M0246

Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the COVID-19 public health emergency

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.50 / $825.00 / $952.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.50 / $880.00 / $954.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $800.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.28 / $921.28 / $921.28