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Missouri rates for HCPCS J1823

Injection Inebilizumab-Cdon 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.46 / $560.99 / $762.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $510.41 / $598.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.55 / $842.44 / $1,780.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $619.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $495.55 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $580.72 / $2,422.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.27 / $494.43 / $549.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.22 / $495.55 / $569.88