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Missouri rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $67.61 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $56.23 / $93.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $95.50 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $79.43 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $56.23 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $56.23 / $66.07