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Missouri rates for HCPCS J1300

Injection, eculizumab, 10 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $1,148.15 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87