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Missouri rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $587.96 / $1,633.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $444.98 / $617.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $470.90 / $1,551.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $540.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $407.57 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $556.37 / $2,246.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.03 / $436.51 / $501.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.98 / $432.02 / $496.82