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Missouri rates for HCPCS J1561

Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $96.75 / $9,484.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $49.94 / $87.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.96 / $53.37 / $175.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $61.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.19 / $48.96 / $48.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.03 / $60.71 / $241.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.47 / $48.03 / $55.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $85.13