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Missouri rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.79 / $2,944.97 / $4,005.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,478.48 / $2,958.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $3,280.35 / $8,728.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,037.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,292.35 / $2,500.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,974.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,928.84 / $4,630.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.67 / $2,587.14 / $10,655.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.98 / $2,503.21 / $2,891.57