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Missouri rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.80 / $5.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.65 / $1.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.72 / $1.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.93 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.62 / $0.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.63 / $0.79