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Missouri rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.26 / $20.26 / $27.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $21.62 / $25.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $35.68 / $75.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $26.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $20.26 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $25.19 / $102.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.01 / $18.84 / $20.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.84 / $20.99 / $22.27