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Missouri rates for HCPCS J1453

Injection Fosaprepitant 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $62.50 / $474.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $36.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $11.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.17 / $0.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.18 / $1.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $306.11
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.65 / $12.65 / $12.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12