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Missouri rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $64.18 / $87.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $67.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.50 / $95.91 / $148.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.14 / $51.34 / $64.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $80.00 / $299.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.96 / $56.42 / $62.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.06 / $56.42 / $62.90