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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
$11.58 / $17.52 / $18.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $18.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.21 / $25.28 / $39.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.01 / $17.01 / $17.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $41.84 / $214.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $18.38 / $23.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $18.38 / $23.60