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Missouri rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $72.44 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $60.26 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $57.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $67.61 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $57.54 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $63.10 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $56.23 / $69.18