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Missouri rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $58.38 / $79.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $46.70 / $61.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.79 / $65.68 / $128.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.79 / $46.70 / $58.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $75.00 / $218.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.35 / $48.65 / $55.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.35 / $48.65 / $56.29