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Missouri rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $30.13 / $31.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.70 / $31.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $30.86 / $65.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $22.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $18.14 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $23.80 / $87.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $18.39 / $21.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $24.40