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Missouri rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $234.42 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $169.82 / $281.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $173.78 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $165.96 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $218.78 / $851.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $199.53 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $162.18 / $199.53