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Missouri rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $471.86 / $659.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $399.93 / $476.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $666.55 / $1,408.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $490.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $392.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $470.51 / $1,973.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.55 / $393.87 / $452.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $453.65