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Missouri rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.35 / $27.74 / $29.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.76 / $29.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $28.63 / $60.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $21.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $16.84 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $22.77 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $17.59 / $20.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $26.25