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Missouri rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $17.78 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $17.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $26.30 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.98 / $16.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $41.69 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $18.20 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $18.20 / $23.99