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Missouri rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $11.90 / $14.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.77 / $13.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $19.62 / $41.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $14.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $10.88 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $13.78 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $11.55 / $13.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $11.53 / $11.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.81 / $11.54 / $13.35