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Missouri rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.54 / $139.02 / $189.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $112.54 / $145.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.36 / $199.31 / $432.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.77 / $99.77 / $133.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $140.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.22 / $132.07 / $498.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.65 / $117.24 / $134.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.65 / $117.24 / $136.49