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Missouri rates for HCPCS J2778

Ranibizumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.98 / $404.07 / $491.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $91.11 / $1,304.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.38 / $146.85 / $310.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $107.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.48 / $81.48 / $86.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $86.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.11 / $404.07 / $1,621.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.44 / $91.11 / $105.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $86.38 / $105.64