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Missouri rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Facilitymedian $22 · 10th–90th $17–$510%20%10th90th$22Professionalmedian $17 · 10th–90th $17–$300%50%10th90th$17$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $28.84 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $17.38 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $18.62 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $30.90 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $25.70 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.78 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $20.42 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.38 / $25.12