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Missouri rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.35 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.32 / $1.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $1.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.58 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.40 / $2.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.40 / $2.40