go back

Missouri rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $59.00 / $416.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.06 / $5.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.20 / $5.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $6.68 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.02 / $2.47