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Missouri rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.21 / $2,547.88 / $4,952.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,134.37 / $2,426.55 / $3,935.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.32 / $3,597.74 / $7,601.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,645.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.53 / $1,996.53 / $2,116.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,049.21 / $2,539.58 / $10,393.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.25 / $2,113.23 / $2,378.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.87 / $2,116.32 / $2,378.02