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Minnesota rates for HCPCS Q9991

Injection, buprenorphine extended-release (Sublocade), less than or equal to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $4,688.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.83 / $2,318.88 / $4,388.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.24 / $1,976.55 / $1,976.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,664.34 / $6,305.78 / $7,676.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.17 / $2,322.89 / $2,491.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,160.72 / $5,754.44 / $7,222.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.55 / $1,961.55 / $2,667.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $3,340.37 / $4,629.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.55 / $1,976.55 / $2,728.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $3,655.37