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Missouri rates for HCPCS J1571

Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $107.15 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $70.79 / $109.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $74.13 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $69.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $72.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $79.43 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $79.43 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $69.18 / $95.50