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Missouri rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $23.99 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.45 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $15.49 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $17.38 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $16.60 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.45 / $20.89