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Missouri rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $2.09 / $2.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.87 / $2.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $3.11 / $4.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $2.09 / $3.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.83 / $552.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.83 / $2.08