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Missouri rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.55 / $6.36 / $8.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.63 / $6.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $9.27 / $19.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.38 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.44 / $6.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.51 / $6.39