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Missouri rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.74 / $645.98 / $2,099.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $575.21 / $678.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $949.38 / $2,005.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $698.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $526.85 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.16 / $665.85 / $2,714.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.78 / $558.55 / $633.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.08 / $558.46 / $645.98