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Missouri rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Facilitymedian $447 · 10th–90th $257–$1,6220%20%10th90th$447Professionalmedian $427 · 10th–90th $257–$7080%20%40%10th90th$427$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $436.52 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $269.15 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $478.63 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $562.34 / $2,238.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $436.52 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $549.54 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $416.87 / $524.81