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Missouri rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.86 / $356.40 / $484.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $317.94 / $374.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $524.76 / $1,108.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $385.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $291.20 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.79 / $344.53 / $1,469.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.77 / $306.80 / $352.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.36 / $308.68 / $354.45