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Missouri rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.33 / $365.42 / $496.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $292.33 / $383.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.06 / $402.71 / $785.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.07 / $274.07 / $365.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.06 / $357.96 / $1,581.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.56 / $298.30 / $345.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.95 / $298.30 / $364.82