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Missouri rates for HCPCS J1170

Injection, hydromorphone, up to 4 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $19.05 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $2.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $3.24