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Missouri rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Facilitymedian $1 · 10th–90th $1–$30%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%20%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.45 / $2.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.12 / $1.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.12 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $1.82 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.66 / $0.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.66 / $0.78