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Missouri rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.43 / $112.04 / $2,747.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $52.26 / $112.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $55.31 / $182.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $63.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $50.74 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.43 / $70.12 / $245.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.64 / $50.43 / $58.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $60.29