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Missouri rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $333.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $345.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $393.72 / $1,321.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.42 / $318.67 / $416.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.66 / $406.40 / $7,359.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.91 / $357.54 / $408.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.91 / $357.54 / $408.23