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Missouri rates for HCPCS J2507

Pegloticase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.86 / $3,893.61 / $4,728.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $3,734.05 / $4,503.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $6,223.41 / $13,149.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $4,576.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.62 / $3,660.83 / $3,660.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,369.45 / $4,055.82 / $17,826.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,093.03 / $3,638.86 / $4,184.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,111.71 / $3,660.83 / $4,235.58