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Missouri rates for HCPCS J0223

Injection, givosiran, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.19 / $135.29 / $142.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $120.88 / $142.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.36 / $199.51 / $421.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $146.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.72 / $110.72 / $117.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $117.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.19 / $137.47 / $582.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.61 / $117.19 / $134.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.76 / $117.36 / $134.21