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Missouri rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $567.88 / $596.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $511.64 / $600.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $844.46 / $1,784.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $620.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $496.74 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.50 / $596.09 / $2,483.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.34 / $496.51 / $561.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $571.25