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Missouri rates for HCPCS J1557

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $138.04 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $64.57 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $69.18 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $64.57 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $66.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $75.86 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $63.10 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $70.79 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $64.57 / $91.20