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Missouri rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.52 / $604.67 / $634.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $524.71 / $634.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $865.23 / $1,828.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $636.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $480.15 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.52 / $610.75 / $2,488.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.59 / $519.52 / $592.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.62 / $508.96 / $588.87