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Missouri rates for HCPCS J1573

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.64 / $79.02 / $112.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $71.66 / $106.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $113.29 / $239.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $83.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $66.64 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $79.97 / $400.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $71.66 / $82.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $95.09