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Missouri rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $20.42 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $18.20 / $28.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.62 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $20.89 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $26.30 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $25.12 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $17.38 / $21.38