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Missouri rates for HCPCS J7308

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

Facilitymedian $468 · 10th–90th $389–$1,0230%20%10th90th$468Professionalmedian $407 · 10th–90th $389–$6610%20%40%10th90th$407$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $467.74 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $426.58 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $416.87 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $831.76 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $436.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $436.52 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $398.11 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $398.11 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $389.05 / $446.68