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Missouri rates for HCPCS J1429

Injection, golodirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.60 / $192.00 / $261.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $153.60 / $201.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.40 / $272.00 / $421.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $153.60 / $192.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.60 / $192.00 / $831.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $160.00 / $184.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.80 / $160.00 / $184.00