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Missouri rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.51 / $524.02 / $617.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $524.02 / $617.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $864.89 / $1,827.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $635.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $479.96 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.78 / $644.98 / $2,423.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.68 / $505.51 / $581.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.45 / $508.76 / $584.94