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Missouri rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $5.93 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.24 / $2.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.24 / $2.59