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Missouri rates for HCPCS J0791

Injection, crizanlizumab-tmca, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.58 / $147.18 / $154.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $133.36 / $157.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $220.12 / $465.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $161.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $129.47 / $129.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.58 / $155.38 / $647.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.14 / $129.58 / $144.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.06 / $129.47 / $144.24