go back

Missouri rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $691.83 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $616.60 / $2,041.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $602.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $645.65 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $691.83 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $575.44 / $676.08