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Missouri rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.74 / $36.99 / $42.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $36.61 / $43.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $38.75 / $127.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $44.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $33.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.71 / $38.11 / $169.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.52 / $35.90 / $41.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $41.27