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Missouri rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.16 / $136.57 / $14,279.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $87.53 / $136.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $84.32 / $283.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $98.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $78.79 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.02 / $93.91 / $405.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $81.70 / $94.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.75 / $78.75 / $78.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $116.08