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Missouri rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $67.61 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $61.66 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $58.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $67.61 / $275.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $56.23 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $67.61 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $57.54 / $66.07