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Missouri rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $89.40 / $121.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $93.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.20 / $126.65 / $196.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.05 / $67.05 / $89.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $89.40 / $384.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.33 / $74.50 / $85.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.33 / $74.50 / $87.61