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Missouri rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.16 / $27.72 / $115.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.93 / $11.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.83 / $5.21 / $12.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $5.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $9.65 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $5.13 / $5.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.78 / $5.85