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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
$57.43 / $72.54 / $98.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $58.01 / $72.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $95.37 / $201.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $70.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $52.93 / $56.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.43 / $65.05 / $259.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.82 / $57.43 / $66.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.06 / $56.06 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.69 / $56.10 / $68.61