go back

Missouri rates for HCPCS J0699

Injection Cefiderocol 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.79 / $2.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.49 / $2.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $4.11 / $8.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.66 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.40 / $2.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.42 / $2.79