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Missouri rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $9.75 / $13.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.95 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $13.00 / $13.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $13.00 / $13.13