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Missouri rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.97 / $76.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.06 / $3.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $3.26 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.21 / $1.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.21 / $1.48